Prison Rape Elimination Act (PREA) Reporting | Colorado Department of Corrections

Inmate's Name

Inmate's DOC# (if available)

Type of Incident (check all that apply)

Sexual Assault

Sexual Abuse

Sexual Harassment

Retaliation for Reporting or Being Involved in a PREA Incident

Other PREA (please explain below)

Other…

Other PREA (please explain below)

Facility Where Incident Occurred (if known)

Date of Incident (if known)

Name (of person reporting)

Address (of person reporting)

Phone number (of person reporting)

Email Address