High-Fidelity Reporting Form
This form is for High-Fidelity Fusion participants to report an incident that happened between them and a member of the Fusion community. Things for participants to know about:
This form is anonymous.
There is an option to provide a name and email at the bottom.
This form will be visible to all members on the organizing team.

We respect people's decision to remain anonymous. As organizers, we will do their best to keep your wishes in mind throughout the accountability process. If you feel comfortable doing so, please provide a contact person for us share information with. We will do our best to keep that person informed of our findings and actions throughout the process.
Sign in to Google to save your progress. Learn more
What happened? *
Where did it happen? *
Who was involved? *
When did it happen?
You are not required to know the exact sequence of events and when they happened, but anything you do know will be helpful.
MM
/
DD
/
YYYY
Time
:
What else do we need to know?
Other details, context, etc. that do not fall into any of the above questions
What information can be shared with the individual(s) you've named? *
Other details, context, etc. that do not fall into any of the above questions
What information CANNOT be shared with the party/parties you've named? *
Other details, context, etc. that do not fall into any of the above questions
What do you want to happen as a result of this report? *
Is there anything the individual(s) you've named could do that would help you/others feel safe? *
What can the Organizers/Conflict Resolution Team do in response to this situation that would make you/others safe? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy