Desert Bound Incident Report Form
Please fill out the following questions so that we may best investigate to come to a reasonable resolution.
You may opt out of submitting a name (both legal and nick name - however this will make it harder to investigate.)
Your Name (Legal) OPTIONAL
Your answer
Your Name (Nick Name) OPTIONAL
Your answer
If you are not remaining anonymous, please enter either an Email Address or Phone Number that you can be reached at if you'd like follow up to this incident
Your answer
Name(s) of other Parties involved with Incident *
Your answer
When and Where did the incident occur? *
Your answer
What Happened? *
Your answer
Did anyone else see it happen? Who? What did they say? What did they do? *
Your answer
What did you do in response to the incident or behavior? *
Your answer
Did you tell anyone about the incident or behavior? Who? What did they say and/or do? *
Your answer
Do you know why the incident or behavior occurred? *
Your answer
Is there anything else you want to tell us that I haven’t asked you?
Your answer
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