Please make sure you have read the Disciplinary Policy BEFORE submitting this form. Incomplete submissions will NOT be viewed or taken into consideration.

All fields (except the file upload) are MANDATORY.

Your Name*
Your Gamer Name*
Your Email*
Date of Transgression
Appeal to
Your Story (please be as precise as possible)*
Your Evidence (one URL/Video per line)*
Please ZIP any chatlogs or images and upload them here (max. 5mb)
Please verify*

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