Ignition Northwest Incident Report Form
Use this form to report incidents you witnessed or experienced that violate INW's Code of Conduct and/or our community's principles. INW's Code of Conduct is available here: https://ignitionnw.org/inw-code-of-conduct/
What happens after I submit this report?
Reports submitted via this form go directly to a secure file accessible only to members of the INW Conduct Committee. A Conduct Committee member will reach out to you to acknowledge your report (unless you request no follow-up or anonymity). The Conduct Committee will then review your report. If you request follow-up, a member of the Conduct Committee will reach out to you.
Your Name (Reporter)
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First Name
Last Name
Other name(s) you use (Reporter)
Do you want to remain anonymous?
I wish to remain completely anonymous. I understand that by requesting anonymity, the INW Conduct Committee will respect my request by making no attempt to contact me. I also understand that my report might not be acted upon.
Do you want follow-up from the INW Conduct Committee and/or to be included further in this process?
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Yes
No
Other
How would you like the INW Conduct Committee to contact you?
Phone
Email
Other
Contact Email
example@example.com
Phone Number
Please enter a valid phone number.
Do you need support? Do you want the INW Conduct Committee to reach out about counseling and other resources available to community members?
Yes
No
Not Sure
Other
Did this incident happen to you?
Yes
No, I was a bystander
No, I have the consent of the person who was harmed to submit this report as their proxy
What kind of incident are you reporting?
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Physical endangerment
Endangering a minor
Sexual misconduct, sexual coercion, consent violation, or sexual assault
Non-consensual drugging or dosing
Predatory behavior
Intimidating or threatening behavior
Discrimination or harassment (including but not limited to mistreatment based on race, gender, identity, orientation, age or ability)
Misuse of position or authority
Photography or use of image without consent
Boundary violation
Disregard for Leave No Trace
Vandalism or damage to personal or event property
Trespassing
Theft or misuse of personal or intellectual property
Vending
History of prior misconduct
Other
Who are you reporting?
If you don't know a name, please include any details you know (e.g. "Tall, thin, white male with long, straight, dark hair and a tattoo on his shoulder. He was selling ice on Tuesday afternoon.)
Did this happen at an event? If so, which one(s)?
Critical NW
SeaCompression
Other
Approximate date/time/location of the incident
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Names of any bystanders (if any)
Narrative explanation of the incident (in as much detail as you are able to remember)
*
If you have a resolution in mind, please describe
It is okay if you don't have one at this time, or if it changes over time
Is there any other information or background context you feel the INW Conduct Committee should know in order to understand in this incident?
Attach files if needed
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The INW Conduct Committee will not pursue legal action. However, if you or someone else pursues legal action regarding this incident, it is possible that communication with the INW Conduct Committee (including this report) could be subpoenaed under certain circumstances
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I understand
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