ARS Incident Report Form
This form is to report an incident to ARS leadership. If you need help or if you cannot fill out this form please reach out to us at austinropeslingers@gmail.com.

This information will be kept strictly confidential and could be used to make decisions about how best to respond.

For action to be taken, all information in this report will be shared with ARS leaders. Except where a leader is implicated, all leaders must deliberate on information given to make decisions. Please see our guidelines for more information: 

If you are not comfortable sharing this information with all leaders or if a leader is implicated, please contact a specific leader in person or via Fetlife: https://fetlife.com/users/6792876.

We appreciate the effort and energy it may take to provide this report. There is an area at the end of the report if the generated fields need to be explained or further detailed.

Please try to include as much information as you can. When listing names, please list both real names and "scene" names so as not to cause any confusion.
Sign in to Google to save your progress. Learn more
Email address:
Please note that if you choose to submit this form anonymously we will keep it for our records but will be unable to take action.
Your preferred name and pronouns:
Date of the incident: *
If you aren't sure, please give an approximation.
Location of incident:
Description of incident: *
Further explanation of events or motivation.
if you feel further context would be useful, please provide it here.
Names of those directly involved: *
Please include any and all names and aliases known for each individual listed. (Legal name, Nickname, Fet name etc.) Please understand that all information you submit is strictly confidential and any legal names disclosed will never be shared or released unless mandated by law.
Potential witnesses or those indirectly involved:
Please include any and all names and aliases known for each individual listed. (Legal name, Nickname, Fet name etc.) Please understand that all information you submit is strictly confidential and any legal names disclosed will never be shared or released unless mandated by law.
Were there negotiations prior to the incident?
Clear selection
What were the negotiated lines of consent?
Please bear in mind any pre-existing consent from existing relationships.
Do you feel the consent incident was intentional or malicious?
Are you aware of any legal action regarding this incident?
Clear selection
If yes, please provide more details.
Are you willing to follow up with ARS leadership?
If we have further questions or require clarification.
Clear selection
What next steps would you like to see?
Please provide any additional comments, concerns, information, or anything otherwise not discussed above:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy