Report a Code of Conduct Violation

Prior to filling out this report, we encourage you to read the AZBurners Code of Conduct, and the FAQ pages.

To file a report with the AZBurners Conduct Committee, please complete and submit this Incident Form within 60 days after the incident occurred. This form collects information regarding possible Code of Conduct violations. The completed form should contain sufficient detail for the investigators to begin an investigation. If the report warrants an investigation, the Conduct Committee will review the report with you before assigning your case to a team of investigators who you will have a chance to approve.

Once submitted, the form will be accessible to the Conduct Committee members. If you have a strong reason for withholding information from a particular member, please contact one of the other committee members or a member of the AZ Burners Board of Directors.

About your Name – Please report anonymously ONLY if you do not wish to have any follow up. Anonymous information can be useful when it contains verifiable facts, but information with no contact information is, by its nature, of limited value in our process. If you choose to report anonymously, enter the word “anonymous” instead of your name. Anonymously submitted reports become part of AZ Burners permanent records.

Violation Submissions and Reporting

Name

Required if you wish the CoC to open an investigation. Else, your report will be filed for future reference.

Email *

Confirm Email

Please enter an email address.

Phone Number

(Optional)

Your preferred method of communication

Email
Phone

Name of the person(s) you are reporting *

Include or indicate any known aliases

Please provide their contact information if you have it

Email, Phone, Social Media profile, etc.

What is the nature of the violation that you wish to report? *

If Other, please elaborate

When and where did the incident(s) take place? *

If you are reporting several instances, please list in chronological order. Incidents that occurred more than 6 months ago will be filed rather than investigated.

Were others present when the incident(s) occurred? *

If yes, please specify if you are acquainted with them should the investigators need to reach out to them with your approval. Include contact information if possible. We will not contact anyone without discussing the case with you first. If not, please state "N/A"

Description of the Incident(s) *

Please include as much detail as possible

What is your intention for filing this report? *

Please investigate
No investigation, this is for info only
Procedural questions or concerns about the Committee’s function

If this form is submitted during hiatus, it will be received by the Conduct Committee after they reconvene. You will receive an email from the leads once the Conduct Committee resumes. *

I acknowledge

The Conduct Committee will not pursue legal action. However, if you were to do so on your own, all recorded communication received by the Conduct Committee (starting with this report) can be subpoenaed under certain circumstances. *

I acknowledge

If you would like counseling or to speak with a trained crisis volunteer outside of the Conduct Committee, there are a number of 24/7 hotlines available at https://www.rainn.org/resources *

I acknowledge

Last Updated

04/06/2025

Report a Code of Conduct Violation

Violation Submissions and Reporting

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