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AISSA Community Health Form

Please let us know if you've experienced something you're uncomfortable with in the AISSA community or would like to report a concern.

We know a form isn't the warmest way to connect, but it ensures your message reaches the right person who can help you best. You can remain anonymous if you choose. Alternatively, you can email us directly at admin@aisafetysa.com.

By default, your message will be seen by the AISSA team. For details about our community health approach, see our Code of Conduct here.

We take confidentiality seriously and will respect your preferences about how information is shared.

What would you like to share with us?

If there are any particular actions you'd like us to take, please include these so we can consider them.

How urgent is this concern?

With 0 being not urgently at all and 5 requiring an answer in the next few days.
How urgent is this concern?

Optionally, anything you want to say about why it’s urgent:

When did this occur?

Where did this occur?

How confidential would you like us to keep this?

By default, we treat all information as sensitive. You can request different levels of confidentiality, and we'll do our best to honor your request. Note: we may be legally required to report certain criminal activities.
How confidential would you like us to keep this?
A
B
C
D
E

What outcome are you hoping for?

For example: a conversation with the person involved, a formal warning, removal from the community, or just wanting us to be aware of the situation.

Your name (optional)

Your email address (optional)