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Reporting Form
If you witnessed or were a victim of a situation involving any kind of violence - psychological, physical, or sexual - or discrimination, please do not hesitate to fill out this form.
SPEAK's Protection Officer
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* Indicates required question
What was your role in the situation?
*
An intervening party
Observer
When did the incident occur?
*
MM
/
DD
/
YYYY
Where did the incident occur?
*
Your answer
Please describe the situation.
*
Your answer
If you want, please indicate your name, email and phone number [optional].
Your answer
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