This guide is intended for rural sexual assault advocates searching for concrete information on how to work with Deaf and hard of hearing sexual assault survivors. Deaf survivors of sexual assault face numerous obstacles, such as isolation, stereotyping, and lack of anonymity in accessing all kinds of services in rural communities. The steps in this guide will direct you towards providing Deaf sexual assault survivors with trauma-informed and culturally appropriate services, assist you in identifying accommodations in services and changes in technology, and encourage you to reach out to Deaf sexual assault survivors in your community.