Please provide as much detail as possible about who is involved, the dates the event occurred and the location of the incident. If you wish to remain anonymous, do not include your name or contact information.
If you select yes, the Convenor (Tanya Dunford) will be careful not to provide too much information to other parties in an effort to keep your identity confidential. If you select no, please provide your name and contact information in the next section.
Only enter your name if you do not want to remain anonymous
Only enter your email if you do not want to remain anonymous. We will also send a copy of this submission to your address as confirmation of receipt.