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Department of Human Services

jt.smith@lynchburgva.gov

(434) 455-4076

Form Section 1

PREA Complaint (Grievance)

You can also report sexual abuse or sexual harassment by calling (434) 455-4060.

Use this form to report sexual abuse or sexual harassment that is believed to have occurred in the Group Home or detention.
Full Name
When did the alleged incident occur?
Date Picker
Is this an emergency? Answer "YES" if the complaint concerns life, health and/or safety issues or a substantial risk of imminent sexual abuse.