Support, Report, Respect Disclosure Form - Students

What is the Support Report Respect disclosure form?

If you are a student or a visitor of Leeds Beckett University, you can use this form to disclose an incident and access support from a Student Harassment and Sexual Misconduct Adviser within Student Services or disclose an incident anonymously. You can also use this form to disclose on behalf of a student or visitor of Leeds Beckett University. If you are a colleague of the university reporting an incident you have personally experienced, please use the  colleague reporting form.

You can use this current form to disclose behaviours or incidents of bullying, harassment, sexual misconduct (including sexual violence), domestic abuse/relationship issues or any other form of unacceptable behaviour. Completing this form lets the university know that something has happened. However, this will not instigate a formal investigation or complaint. 

What happens after my disclosure?

The information in this submission will be received by a specially trained Student Harassment and Sexual Misconduct Adviser in Student Services. 

If you choose to access support for an incident, an adviser will contact you (or the victim/survivor if you are disclosing on behalf of someone else) to provide advice or arrange an appointment. Our trained advisers will provide initial advice and support following an incident, help to access specialist services, and explain the options for formal reporting routes. We aim to respond to the disclosure within one working day.

If you choose to disclose an incident anonymously, no contact details are recorded and you will receive no follow up on submission of your disclosure.

All submissions are handled sensitively, and we appreciate you choosing to share your experience with us. In most circumstances, the information you provide will only be seen by select colleagues within Student Services. However, the university may judge that action is required even if you are not requesting any. More information about this can be found below. 

Important: this form should not be used to access urgent support.

• Information about accessing support in an emergency can be found on the Urgent Support Page
• If you are on campus, you should contact emergency services on 999 first, then inform Security Services on their 24-hour emergency number 0113 812 3165.
• If you are not on campus, you should contact emergency services by calling 999.

Confidentiality and safeguarding others

Any information you disclose to the university remains confidential, and you have the right to choose whether your disclosure is taken further via formal reporting. Under the UK Data Protection legislation, the lawful basis we rely on for processing this information is your explicit consent. You are able to remove your consent at any time. You can do this by contacting studentsupportreport@leedsbeckett.ac.uk. 

However, please note, there may be exceptions where we are required to take action without your consent or agreement to do so. We will only do this if we deem there to be a danger to yourself, others or to protect the safety of our university community. 

How does Leeds Beckett use my data?

Leeds Beckett University ( LBU ) are the Data Controller for the information you provide when completing this form. Your details will be held in accordance with UK Data Protection legislation for the purpose of addressing your Support Report Respect disclosure form. For more information on these principals, how to exercise your rights and freedoms and how to contact us please visit the university’s Privacy Statement and our Student Suicide Prevention – Information Sharing Statement

Please select the type of disclosure:

You have selected to submit an anonymous disclosure

While completing the form, we will not ask for any identifying personal information. However, we will ask for you to inform us of your link to the university, and if you are disclosing on behalf of someone else, what your relationship is to the victim/survivor. This information is solely used to identify any trends in disclosures, and better understand the prevalence of unacceptable behaviour amongst our university community.

You have selected to receive support from a Student Harassment and Sexual Misconduct Adviser in Student Services

You will be asked to provide your name and contact details in this form, which will be used to make initial contact with you. If you are submitting a disclosure on behalf of someone else, you should provide the name and contact details of the victim/survivor.

On submission of the disclosure, a Student Harassment and Sexual Misconduct Adviser will review the form within two working days (during term-time). and further contact will be made you with. If you are disclosing on behalf of someone else, an adviser will contact the victim/survivor and not the individual completing the disclosure form.

Please note, outside of term-time, our review of disclosures may take longer.