LCFD Safety Reporting Form
This form is to report violations of the LCFD Code of Conduct or any other incident that impedes the safety of one or more attendees or the broader community.

Please fill out one form for one incident. The form allows multiple submissions if you need to report multiple incidents. You can submit a report for yourself, or for a friend.

The Safety Team (a group of volunteers dedicated to responding to these reports) will review all submissions per the "Incident Resolutions" section of the LCFD Code of Conduct.

A safety volunteer will follow up with you to further discuss the incident, and will work with you to determine a resolution. 

All answers are optional. Reports submitted anonymously will be responded to with the same care as reports with names. We will not share names of those who submit reports with anyone outside of the safety team.

What is your name and what pronouns do you use? (optional -- see above)
If you are comfortable, please provide a piece of contact information we can use to ask you follow up questions or provide updates. Email or phone number are preferred.
Who did the incident affect?
In making this report, whose actions are giving you concern? Please provide their name(s) if you know them, or a general personal description if you do not know their name(s).
What date did the incident occur?
MM
/
DD
/
YYYY
What time did the incident occur, approximately?
Time
:
Where did the incident occur?
Please describe the behavior or incident that you are reporting. Please provide as much detail as you can, as this will aid the Safety Team in responding to the concern.
Is there anything else you would like us to know?
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