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PREA Reporting Form

This form is to be used for reporting sexual abuse and/or sexual harassment of inmates/clients/residents under the care, custody or control of the Orange County Corrections Department. Such incidents shall include, but may not be limited to the alleged misconduct of staff, inmates, other government employees, any other law enforcement or correctional agency, vendors, contractors, visitors or any other individual authorized to be present and/or to conduct business with the Orange County Corrections Department and/or to have contact with inmates under their care and custody.

First Name:*

Middle Initial:*

Last Name:*

Address 1:*

Address 2

City:*

State:*

Zip Code:*

Primary Phone:*

Secondary Phone:

Email:*

Incident Details (be specific):*

Victim Name:*

How can we contact the victim?*

Suspect Name:*

Where could we contact the suspect?*

When and where did the incident take place?*

Security Code:*

Contact Us

Orange County Corrections Dept.
Administration Building, 4th floor
3723 Vision Blvd.
Orlando, FL 32839

PREA Coordinator:
Ellen Ritten
Phone: (407) 254-7578
Fax: (407) 836-3137

All e-mail sent to this address becomes part of Orange County public record. Comments received by our e-mail subsystem can be read by anyone who requests that privilege. In compliance with "Government in the Sunshine" laws, Orange County Government must make available, at request, any and all information not deemed a threat to the security of law enforcement agencies and personnel.

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