This Incident Reporting Form is to be used for reporting concerns about incidents and people involved at CLAW in a semi-anonymous manner as the information provided on this form will be reviewed by the Incident Response Team and incidents reported will be addressed on a case-by-case basis.
An incident could be conflict of any kind, including, but not limited to, harassment, a consent issue, a misunderstanding, an argument, bullying...
Utilizing the Incident Response Form and/or meeting with the Incident Response Team is a voluntary process. Because free flow of communication is so critical, information shared on this Incident Reporting Form and discussions in an Incident Response Team session are privileged and/or confidential. Any shared information will be treated with confidentiality and respect and shared only as needed to provide the assistance you have requested.
Keep in mind that limits can be violated deliberately or through poor communication, misunderstandings, lack of knowledge, accidents, and/or lack of experience. Be assured, the Incident Response Team are not here to judge and all information reported is taken seriously.
If you have an immediate health or safety concern, please seek medical assistance (Urgent Care, Hospital ER, or call 9-1-1 depending on the immediacy and severity of your emergency) or law enforcement assistance (Non-Emergency 216-621-1234, Emergency 9-1-1).
Please provide as much information as you are comfortable to allow us to provide you with the best safety, support, and/or referrals:
What actions were taken before and after the incident…
Meeting with the Incident Response Team will be in a quiet area that provides a safe, comfortable space with a reasonable expectation of privacy.
We may have further questions about this Incident Report, which would require being able to contact you. Additionally, if you have indicated you would like a meeting, investigation, facilitation, etc. regarding this concern, please provide contact information you would like us to use below.