Harassment Report

Harassment is behaviour that is deemed by the receiver as unwelcome, unwanted, uninvited, offensive, intimidating, hostile, and/or inappropriate. This can include psychological manipulation and overtures or comments which may affect a person’s dignity and/or physical/emotional integrity, cause humiliation and/or offense. Harassment can occur once or be repeated. It is also behaviour which extorts or expects some favour in exchange, and it can be done in person or online, and/or via proxy or avatar. Harassment is NOT: welcome flirtation, welcome and sincere personal compliments, welcome signs of affection. Harassment is unwelcome.

* Indicates required field

On what date did the incident happen? *

Time and location of the incident: *

Who was involved? *

Give a description of the incident. Try to include as much detail as you can. *

Have you had or witnessed issues with this person / these people before? If so, when? Was it reported? Please explain. *

Would you like to meet with someone from Mediation Station? *

Yes No

Would you like to meet with someone from Mediation Station? *

If yes, your name is: *

First

Last

Upload relevant files, eg screenshot, texts, etc. *

Max file size: 20MB

Upload relevant files, eg screenshot, texts, etc. *

Max file size: 20MB

Upload relevant files, eg screenshot, texts, etc. *

Max file size: 20MB

Submit

​Harassment Report

Harassment Report