Code of Conduct Violation Report

Code of Conduct Violation Report
Thank you for submitting a report of a possible violation of the Television Academy Code of Conduct.

Please fill out the form below and attach any relevant images, videos, and/or documents to justify your complaint.
Person(s) you believe violated the code of conduct*
(each name on a separate line)
Was the person:

Television Academy memberGuest of a memberNot sure
Place, date, and time where the possible violation occured:
Place*
Date*

MonthDayYear
Date
Time

:HourMinutesAM/PM Option
Type of violation (select all that apply):*

Threatening, harassing, or abusing others, either verbally, physically, or in writing (includes fighting, horseplay, threatening remarks or gestures, foul/offensive language, obscene gestures, sexual advances/requests for sexual favors, etc.)Exhibiting unruly, disruptive, lewd, or illegal behaviorEndangering the health or safety of others, including behavior caused by intoxication or other impairment related to substance abuseKnowingly and falsely discrediting the reputation of, or defaming, maligning, or making false accusations concerning another MemberMisuse of tickets, passes, and/or credentials, including improperly accessing restricted areas, presenting false ID or permitting another person to falsely present the Member's ID, etc.Soliciting or offering goods or services for sale or purchase where prohibited, including distributing leaflets or other printed materials, selling or licensing event invitations, etc.Taking photos or recordings during events when prohibited or soliciting/attempting to solicit autographs at eventsFailing to follow directions of event personnel regarding event operations or emergency response proceduresViolating Academy rules, including Bylaws, Awards Rules, and Campaign GuidelinesAny other action or activity which could reasonably be construed as contrary or detrimental to the best interests of the Academy (please explain below)
Please describe the alleged violation in detail:*
Attach any relevant images, videos, and/or documents:

Browse Files
(maximum filesize 10Mb) Cancelof
Please explain the attached images/documents:
Any additional comments:
Please note that the Television Academy may contact you for further information regarding this report.
Your name (optional)
Your email address (optional)
example@example.com
Your Peer Group (optional)
By clicking SUBMIT below, I charge the Respondent identified herein with one or more violations of the Academy of Television Arts & Sciences (the "Television Academy") Code of Conduct. I represent and warrant that the factual allegations and assertions made in my complaint and in any other information I submit in connection with my complaint are true and accurate to the best of my knowledge. I understand that I am required to keep non-public information that has been and will be submitted concerning this matter confidential among the participants. I also understand that the Respondent may receive a complete, non-redacted copy of the information I provide, which may include the disclosure of my identity (if known) to the Respondent. I acknowledge and agree that the Television Academy may contact individuals who may be witnesses.
Should be Empty: