Please use this form to report a problem involving harassment of any sort. Security and event organizers will be notified of this issue. For immediate assistance please contact an Enforcer.

1

Describe the perpetrator in as much detail as possible.

2

Type of Harrassment:

Deliberate Intimidation
Stalking
Unwelcome Physical Attention
Offensive Verbal Comments
Sustained Disruption of Panels or Other Events
Harassing Photography or Recording
Physical Assault and Battery
Inappropriate Physical Contact
Other
3

When and Where did this Occur?

4

Are You Still At the Location?

Yes
No
5

If Yes, Please Describe Yourself

6

If No, Please Provide Contact Information