Beloved Incident Reporting Form
This is the place to report any incidents of inappropriate behavior you experienced at a Beloved Presents event. We believe everyone has the right to a harassment-free time at our events. Your courage in sharing will help strengthen our community and make it a safer place for all.

You will be asked at the end of this form if there is any course of action you prefer we take. We commit to respecting your wishes, unless we feel that an intervention is mandatory to prevent future harm.

All of your answers will be held strictly confidential unless you give explicit consent otherwise.
INCIDENT DETAILS
Incident Date & Location *
Please provide the name of the event, the date/time, and any specific details about when/where this occurred during the event.
Incident Description *
Please tell us what happened and provide a detailed description of the behavior you want to bring to our attention.
Person(s) Involved *
Who was the other person(s) involved? If you don't know their name, or if you wish to keep their identity confidential, please state so here.
Intended Follow Up *
Have you, or do you intend to, follow up with the person(s) involved on your own?
Level of Urgency *
Is this report an emergency? Are any of the involved persons in immediate harm or danger?
Desired Response *
What is your desired response from Beloved?
CONTACT DETAILS
You may remain anonymous if you choose.
However, if you would like for us to follow up in any way, please fill out the following details:
Name
Email
Phone
Other Witnesses
Did anyone else witness this behavior? If yes, please provide names with their approval.
Additional Information
Is there anything else you would like to add or let us know?
THANK YOU!
Thank you for taking the time to make our community stronger and safer for all. The leader of our Healing Justice & Accountability Council (HJAC) will review your incident report and follow up (if requested) within 14 days, unless marked an emergency.
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