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A   A You're here: home abuse report report form

Abuse Committee » Report Form

1. Index
2. Report Form
3. Gline Disputes
4. Trust Request
5. ProxyScan

All fields are required unless otherwise stated. Upon successful submission of this form, you will be e-mailed with your ticket reference, password and URL. The URL will allow you to open your ticket at any time to check its status and add replies. Correspondence from us will still be e-mailed to you.

Credential:	Input:	Help:
Your name:		Please enter your name
NickServ account:		Please enter your NickServ account. If you don't have one, type "NONE"
E-mail address:		Please enter your well-formed e-mail address
Language:	Please select your language Afrikaans Albanian Arabic Armenian Azerbaijani Basque Bulgarian Belarusian Catalan Cherokee Chinese Cornish Croatian Czech Danish Dutch English Esperanto Estonian Farsi Finnish French Galician Georgian German Greek Gujarati Hebrew Hindi Hungarian Icelandic Ido Indonesian Irish Gaelic Italian Japanese Javanese Khmer Korean Latin Latvian Lithuanian Macedonian Malay Maltese Maori Mongolian Norwegian Occitan Pashto Plautdietsch Polish Portuguese Pulaar Romanian Russian Serbian Slovak Slovenian Spanish Swahili Swedish Swiss Tagalog Tatarish Thai Turkish Turkmen Ukrainian Uzbek Vietnamese Welsh Wolof Other ...	Select your language. We'll make every effort to contact you using this language
Urgency:	Low Medium High Urgent	Please select the urgency type of your query
Channel:		Enter the channel this incident happened in. This is NOT required
Date of occurrence:	Day 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Month January February March April May June July August September October November December Year 2008 2009	Select the date this incident happened on
Time of occurrence:		Enter the time this incident happened on
Offender's nicknames:		Enter the offending nicks
Upload file:		Files can only be a maximum of 15kb in size. In addition, only .txt files are accepted
Notes and information:	characters remaining	Please enter your full query giving all relevant information and an indepth description. If you need to paste any text into this submission, please use the "Upload file" as an alternative
COPPA Requirement:	Yes, I am 13 or over	Check this box to confirm you are at least 13 years old
Validation event:	Can't see it? Refresh Image	Enter the code from the image to validate your submission
Submit:	Submit Reset the above

Please note: When submitting any form, your IP and browser information will be submitted for informational and abuse-related purposes purely.

Even though you may want to move forward in your life, you may have one foot on the brakes. In order to be free, we must learn how to let go. Release the hurt. Release the fear. Refuse to entertain your old pain. The energy it takes to hang onto the past is holding you back from a new life. What is it you would let go of today?