INCIDENT REPORT FORM

Suggested information to include:

• Scene Name
• Proper Name
• Email
• Phone Number
• Fetlife Profile Link or Username

Anonymous Reporting: You may opt to file this report as "anonymous". If you choose to do so, please be aware that anonymous reporting may impact the investigation of the report, and ultimately the reporter’s satisfaction with the final result. ( Except in cases where concrete evidence may be provided against the accused, such as news articles, other organization reports/findings, photo evidence, etc. )

Would you like goBOUNDLESS organizers to do their best to keep your identity private as it relates to this report and investigation with any accused person(s) involved?

What type of report are you filing?

If Applicable
If this incident involved any individuals who may be responsible for the injury, plase provide their inforation here:

Suggested information to include:

• Scene Name
• Proper Name
• Email
• Phone Number
• Fetlife Profile Link or Username

If Applicable

Suggested information to include:

• Scene Name
• Proper Name
• Email
• Phone Number
• Fetlife Profile Link or Username

What other considerations would you lik goBOUNDLESS organizers to be aware of?

What outcome or steps would you like to see taken as a result of this incident report?