ALPhA Incident Report Form

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If you witness or experience inappropriate conduct at an ALPhA event, including but not limited to the prohibited conduct described in the ALPhA Community Standards of Ethical and Professional Conduct , please report such conduct immediately to any of the ALPhA Officers. Anyone experiencing or witnessing behavior that constitutes an immediate or serious threat to public safety at the Event is advised to locate a house phone and call and ask for security. He or she is not required or expected to discuss the concern with the alleged offender.

Please use this form for observers or targets of prohibited conduct to help with an investigation. ALPhA will make every effort to maintain the confidentiality of any supporting documentation.

General guidelines for reporting incidents:

If possible, write everything down (times, places, nature of the incident, and comments made).
Save emails, notes, etc.
Be as detailed as possible.

Your name (optional)

Your contact information (optional. Needed in order for ALPhA to follow up):

Name of alleged offender (If you are unable to provide a name, please describe the individual's physical appearance in as much detail as possible):
*

Name(s) of individual(s) who experienced or witnessed the incident:
*

Time and Date of Incident:
*

YYYY

Location of incident:
*

Nature of incident:
*

Comments:

Additional information:

Submit

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