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ISABC Community Incident Report
Your safety and privacy are our top priorities.
Please keep the following in mind:
100% Confidential:
This form can be submitted completely anonymously.
Required Evidence:
Please provide a clear screenshot of the message showing the offender's phone number. You are welcome to blur or crop out your own personal information.
Board Action:
Reports are reviewed regularly to permanently remove bad actors from our WhatsApp network.
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How would you Rate the Severity of this Incident?
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Rate 1 out of 10
Rate 2 out of 10
Rate 3 out of 10
Rate 4 out of 10
Rate 5 out of 10
Rate 6 out of 10
Rate 7 out of 10
Rate 8 out of 10
Rate 9 out of 10
Rate 10 out of 10
1 - Minor Concern 10 - Extremely Severe/Urgent
Date of Incident
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What type of Incident are you Reporting?
Harassment (Verbal, Physical, or Sexual)
Discrimination (based on race, gender, religion, etc.)
Bullying or Intimidation
Misconduct by an ISABC Committee Member
Other
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The Offender's Phone Number
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What is the phone number of the person who messaged you? (Please include the country code, e.g., +49 or +91).
If they used a specific name, please provide that as well.
Upload Evidence
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Click or drag files to this area to upload.
You can upload up to 5 files.
Please upload a screenshot of the message(s). Ensure the offender's phone number is clearly visible at the top of the chat. You are welcome to blur/crop your own profile picture or previous messages. Allowed File Extensions: Type in jpg, jpeg, png
Context / Description
Is there any other context the Board should know? (E.g., Which ISABC group did they find you in? Have they contacted you multiple times?)
What resolution or action are you seeking from the ISABC?
Investigation and disciplinary action
Mediation or conflict resolution
Support/counseling resources
Documentation only (no immediate action)
Other
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How should the ISABC follow up with you regarding this report?
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Email
Phone Call
I wish to remain completely anonymous and do not require follow-up at this time.
Name
First
Last
Email
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Email
Confirm Email
ISABC? / you
Phone
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Privacy & Consent
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I consent to the ISABC Board securely processing the information and evidence provided in this form for the sole purpose of investigating this incident. I understand my report will be kept strictly confidential.
I understand I can withdraw my consent at any time by contacting info@isa-bonncologne.org.
Submit Incident Report
