Western Nevada Regional Youth Center

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Western Nevada Regional Youth Center

To build healthier lives, free of alcohol and drug abuse.

P.O. Box 330
3550 Graham Ave.
Silver Springs, NV 89429
(775) 577-4200

Incident Report

Name of Youth(required)

Sexual Assault

Sexual Abuse

Sexual Harassment

Retaliation for Reporting/Involvement in Incident

Other (explain)

Details(required)

Date of Incident

Reporter Name (if different)

Reporter Phone(required)

Reporter Email

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