APGO Code of Conduct Violation Report

Complaintant information (Reporting Member)
Question/Incident Details Please provide details of the perceived violation of the APGO Code of Conduct. Provide as much detail as possible including the name of the alleged violator (Respondent)
Date of Incident *
Location of the Incident
Time of the Incident
If you are able to provide evidence of the violation, please attach it here

Name *
Phone Area Code		Phone
Do you wish to keep your name confidential from the 'Respondent' *	Yes No
Corroborating witness information (optional)
If there is a corroborating witness who is willing to be identified and provide contact information, please also include their information below)
Witness Name
Witness Email Address

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