Anonymous Incident Report Form

Anonymous incident report form

This anonymous incident report form has been created to ensure all exhibitors, visitors, speakers, guests, and staff at any of Revolution's events can report any breaches of the Code of Conduct to the organisers.

It is intended for individuals who prefer to remain anonymous, are unsure how to proceed, or do not feel comfortable raising concerns in person.

If you choose to provide your contact details to receive updates on any action taken, this information will be treated in strict confidence.

Should you have any questions, please feel free to contact us on 01892 820930.

MyselfSomeone elseBoth (group incident)

Date*

Date

Approx when did this happen?*

Hour Minutes

AM/PM Option

Please describe what happened*

Is there anyone who was a witness to the incident? If you can, please list any and all names*

Please put N/A if no one else was present

How would you like us to deal with this incident?*

You may remain fully anonymous when submitting this report. However, if you are willing to provide contact details, we can follow up with any further questions and offer support if needed.

Name

First NameLast Name

Email

example@example.com

Phone number

YesNo