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Bark Incident Response Form
Instructions: This form is for staff or volunteers to report incidents of interpersonal or systemic oppression at Bark. Bark is committed to creating safer spaces for our volunteers and employees. A staff member or board member that is not involved in the incident will follow up and work with the appropriate people to respond.

You are welcome to submit a report anonymously. If you would like a Bark staff member to follow up with you, please include your name and contact information.
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Date of Incident
MM
/
DD
/
YYYY
Where did the incident occur?
For example: hike location, in transit, etc.
Names of people who perpetrated or supported the harm:
Names of other people present when harm was done:
Description of the harm and the individuals who were harmed:
Actions taken to interrupt the harm or support those harmed in the moment:
Additional comments or details:
Any specific follow up action or response to the incident you would like to request:
Please specify roles, actions, and timeline.
Your relationship to the incident:
Your name:
Optional
Your phone number:
Optional
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