Anonymous Reporting Incident Form
This form is for those individuals who wish to remain anonymous or for members who want to report something, but don't exactly know what they should do.  This is another way to ensure that lines of communication are open and that there exists a way for members to report incidents and maintain anonymity. Should you have any questions please feel free to contact us via main@nuke-con.com
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Please describe what happened. *
What day did this happen? *
MM
/
DD
/
YYYY
Approximately what time? *
Time
:
Where did this happen? *
Are there any location specific details?
Example: If "In the convention space" was chosen, a response here could be "Near table B23 in the main room."
Is there anyone who was a witness to the incident? If so, please list their names. *
Do you wish to remain anonymous? *
Can we contact you to ask further questions about this incident? *
Add additional comments here.
Voluntary Information
This information will not be disclosed outside the Nuke-Con Board of Directors without your permission.
Your name
Your email
Your phone number
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