SANE Exam: Sexual Assault Nurse Examiner Evidence

Can you identify the driver or the rideshare platform — and was the ride recorded in the app or reported?

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Part of the Rideshare Sexual Assault (Uber/Lyft) investigation

The short answer

A sexual assault nurse examiner (SANE) exam is the gold standard for documenting physical evidence of sexual assault. SANE exams are available at no cost to survivors at most hospital emergency departments and rape crisis centers, and the evidence collected can support both criminal prosecution and civil litigation — but you do not need a SANE exam to pursue a civil claim.

People's Justice Research TeamUpdated February 20, 2026Fact-checked

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What Is a SANE Exam?

A SANE exam is a forensic medical examination performed by a specially trained registered nurse who is certified in forensic evidence collection. The exam has two purposes: providing medical care to the survivor (including injury treatment, STI prophylaxis, HIV PEP, and emergency contraception) and collecting forensic evidence that can be used in criminal prosecution and civil litigation. SANE nurses are trained to document injuries in forensic-quality photographs, collect biological evidence using rape kit protocols, and complete detailed forensic medical records.

SANE exams are most effective when conducted within 72 hours of the assault, as biological evidence degrades rapidly. However, physical injury documentation remains valuable beyond 72 hours — bruising, lacerations, and other injuries may still be present and documentable for several days or weeks. SANE programs are available at most hospital emergency departments, and many communities have standalone rape crisis center SANE programs that offer a more private, survivor-centered environment than a hospital ER.

The SANE Exam in Civil Litigation

SANE examination records are powerful evidence in rideshare assault civil cases. The forensic photographs of injuries, the SANE nurse's clinical notes documenting the survivor's account and physical findings, and the biological evidence collected all support the survivor's account of the assault. SANE nurses can be deposed or called as expert witnesses to explain their findings and their significance. The objective, professional nature of SANE documentation is often persuasive to juries and can substantially increase settlement value.

You do not need a SANE exam to pursue a civil case. Many successful rideshare sexual assault cases have been built on medical records from treating providers, psychiatric records documenting PTSD, the survivor's own testimony, digital evidence from the rideshare app, and the driver's complaint history. A SANE exam strengthens the evidentiary foundation but is not a prerequisite. Your attorney can advise on how to build the strongest possible case with the evidence that exists.

Key data

Data & Statistics

2 SOURCED FIGURES

SANE exams are most effective within 72 hours but physical injury documentation remains valuable beyond that window

National Sexual Violence Resource Center / IAFN

SANE exams are available at no cost to survivors at most hospital EDs and rape crisis centers

OVW SANE Program Guidelines (DOJ)

FAQ

Frequently Asked Questions

12 QUESTIONS

No. A police report is not required to pursue a civil lawsuit against Uber or Lyft. Civil claims and criminal prosecutions are entirely separate legal proceedings. You can file a civil claim regardless of whether you reported the assault to law enforcement, regardless of whether the police investigated, and regardless of whether criminal charges were filed or resulted in a conviction. Many survivors have compelling civil cases despite never having reported to police — and that decision is entirely yours to make. A civil attorney can pursue your case based on the evidence that exists, which may include trip records, GPS data, witness accounts, medical records, and the driver's background check history.

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The full investigation

Part of the Rideshare Sexual Assault (Uber/Lyft) Investigation