User Blocklist Request Form
Submit a request to block a user from the platform. Please provide as much detail as possible to help us review your request efficiently.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Relationship to the User
*
Please Select
Platform Administrator
Moderator
User/Victim
Other
Username or ID of User to Blocklist
*
Email Address of User to Blocklist (if known)
Type of Block Requested
*
Temporary
Permanent
Reason for Blocklist Request
*
Please provide evidence or supporting documentation (screenshots, logs, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Have you reported this user before?
*
Yes
No
If yes, please describe previous actions taken or reports made
Date of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Request
Should be Empty: