Harassment Report For Performer use only to report incidents on ACTRA productions "*" indicates required fields All complaints are confidential and members are protected from reprisal. We won’t disclose your identity nor act on this information without first talking to you and getting your permission. We keep a record of all complaints. If you wish to remain anonymous, you do not need to include personal information below but, our ability to investigate and follow up anonymous complaints is limited. (e.g. when there isn’t enough information or when there is no one else to substantiate the allegation. We also can’t follow up you unless we know who you are and how to reach you.) We do not provide information to anonymous or fake email addresses. Would you like a call back from ACTRA Toronto staff? Yes No NamePlease enter your name, as it appears on your ACTRA Toronto Membership Card. First Last ACTRA ID:Please enter your ACTRA Toronto Membership Number, as it appears on your ACTRA Toronto Membership Card. PhonePlease enter a telephone number.EmailBy including an email address, you are consenting to us communicating with you by email. Where did the harassment occur?*Identify where the harassment took place: on an ACTRA Toronto set (provide production title), on an ACTRA set in another province (provide production title), audition space, at an ACTRA Toronto event, etc.What happened?*Who, what, where, when and how… Provide as much detail as possible. If you need more space, consider uploading a longer document, using the “Additional Information” field below.WitnessesList potential witnesses. When possible, provide names, job titles/position, contact info and a description of what they saw.Additional InformationUpload any additional documentation: notes, emails, documents, pictures, text messages, etc. (Maximum upload size: 20 MB) Drop files here or Select files Accepted file types: jpg, png, pdf, doc, Max. file size: 20 MB. By clicking submit, I certify that, to the best of my knowledge, the information I have provided is true, accurate, and made in good faith. I understand that making a frivolous, vexatious or bad faith complaint is prohibited, and could result in negative consequences under the applicable laws, agreements, and ACTRA’s Constitution and By-laws.