Incident Report Form
For incident reporting an incident contravening the Code of Conduct. The information submitted here is strictly in full confidence.

Email: network-in-play-crafting-diversity-in-games@googlegroups.com

Date of report *
Date of when the incident is reported
MM
/
DD
/
YYYY
Time
:
Incident reporter's name?
Your answer
What is your email?
You don't have to supply your email. Please note, we can't follow up an anonymous report with you directly, but we will fully investigate it and take whatever action is necessary to prevent a recurrence.
Your answer
Identifying information (name/badge number) of the participant doing the harassing
Your answer
Location of incident *
Your answer
The behavior that was in violation *
Your answer
Other people involved in the incident
Your answer
The approximate date and time of the behavior (if different than the time the report was made)
MM
/
DD
/
YYYY
Time
:
Full name of person taking note of incident *
Your answer
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