Playwrights' Workshop Montréal
Anonymous Incident Report
Purpose: A person harassed or the victim of discrimination as defined in PWM’s Anti-Harassment and Non Discrimination policy whom does not feel comfortable discussing an incident in person and prefers their identity to be kept anonymous may complete this Anonymous Incident Report form.
Please give us the names or descriptions of the people involved:
Your answer
Time
Time
:
Date
MM
/
DD
/
YYYY
If this is a recurring incident, please describe below:
Your answer
Location of incident (If ongoing, please describe below.)
Your answer
Please describe what you experienced or saw happen: *
Your answer
Is there anything else you would like to tell us?
Your answer
If you would like PWM to contact you regarding this incident, please include contact information below. Providing contact information is optional and not required to report an incident; however, by not providing your contact information and remaining anonymous, you understand that appropriate action, for example, by reporting the incident to the authorities, if required, will be impossible to implement. Your anonymous incident report will however be used for improving PWM’s working environment.
Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Submit
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