Use this form to file an Incident Report with Chicago Rope. Please see our Incident Response Policy for more information on our policies and procedures and for a detailed description of how we use this information.

 

Any information submitted to Chicago Rope in the context of an Incident Report will be kept private and will only be shared with our Organizational Staff Members and, in some circumstances, with outside professionals retained to advise us. All parties who have access to a report will be required to maintain the privacy of any information shared them in the course of our response. No details of an Incident Report will be discussed with or disclosed to any other parties.

Typically, our entire Organizational Staff will have access to reports filed with us. If you submit a report involving an Organizational Staff Member, or you feel that one or more Organizational Staff Members would have a potential conflict of interest in responding to your report, you can specify that your report not be shared with them. You can indicate that you wish to file such a report below and continue with this form, or you can email us at reports@chicagorope.com from a private or anonymous email address.

Please indicate which Staff Member(s) you do not wish to access your report. Another Staff Member will then reach out to you to arrange for filing your report in a way that maintains your privacy. You do not need to provide any personally identifying information when you contact us.

In order to ensure your privacy, we ask that you leave us your contact information and indicate which Organizational Staff Member(s) you do not want to have access to your report. Another Staff Member will reach out to discuss how to file your report.

We recommend creating an anonymous or temporary email address for this purpose. There are lots of options for free anonymous and temporary email addresses. We suggest ProtonMail. We can also follow up with you via phone or other contact methods if you prefer.

You may file an anonymous report through this form, but it may limit our possible responses to your report, as we will not be able to follow up with you about your report. You will also need to submit your complete report and any supplemental information along with this form.

 

Within 48 hours of the submission of your report, you will be assigned a Report Liaison from among our Staff Members. Your Liaison will be your primary point of contact with Chicago Rope throughout our process of responding to your report. They can offer assistance in filing your report or with seeking external resources, including support and advocacy organizations, mental health professionals, and law enforcement. Your Liaison will also provide you with information about the status of our response process. Contacting this individual will be the fastest and most efficient way to communicate with us about your report, but you may also contact us through any other Staff Member.

Chicago Rope has Staff Members who can communicate in English, Spanish, Portuguese, and Italian. If possible, we will assign a Liaison who speaks your preferred language. Otherwise, we will employ an external translator or interpreter to facilitate communication between you and your Liaison.

You may request a specific Staff Member to be your Liaison, but we cannot guarantee the availability of all Staff Members. If you don't have a preference, or if your choice is not available, a Staff Member will be assigned to you. If you are assigned a Liaison that you do not wish to work with, please contact us at reports@chicagorope.com.

 

Your narrative account of the incident as well as any supplemental information you wish to submit can be provided to us in written, verbal, or recorded form. A written or recorded account can be submitted by contacting your Liaison, via email to reports@chicagorope.com, or through our website contact form. Please include either the original Incident Report Form or your Incident Report Number with your message.

We can accept recorded files in most common digital formats. Your Liaison can arrange to provide equipment or technical assistance if you need help making a recording or converting your recording to a format we can accept. If you wish to submit materials to us in any other format, please contact your Liaison for further instructions.

If you wish to submit a verbal account in person, indicate this below and your Liaison will contact you to arrange a time. At least two Chicago Rope Staff Members will be present and each staff member will independently take notes. You can request the Staff Members you feel most comfortable with, subject to availability. A Staff Member selected may recuse themself for any reason. If this happens, you may request another Staff Member in their place. You may also elect to have a mediator or other support present, however this cannot be a person who is filing a Corroborating Report. If all parties agree, this meeting may be recorded.

In order to assist us in responding your report, please include the following information:

• Identity of Person(s) Involved
• Date of Incident(s): approximate dates are useful if the incident was not recent, but the more accurate you can be, the better
• Description of Incident(s): tell us what happened in your own words

In addition, we ask that reports contain some kind of description of the consequences the incident(s) had on you or anyone else involved. While it is not necessary to provide such information or to include any personal details that you do not wish to share with us, understanding the severity of the impact of an incident is an important element of formulating our response.

Incident Reports may be submitted in any language. If a report is not submitted in English, it will be translated to English before we respond to it.