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| − | <!DOCTYPE html> | + | < script type="text/ javascript" src="https:// scrabble.formstack.com/forms/ js. php? 1954627-IBO79exMgF- v3"></ script>< noscript><a href="https:// scrabble.formstack.com/forms/ incident_report" title="Online Form">Online Form - Incident Report</a></ noscript> |
| − | <html lang="">
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| − | <head>
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| − | <title>Incident Report</title>
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| − | <meta charset="utf-8" />
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| − | <!--[if IE]>
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| − | <link rel="stylesheet" type="text/css" media="all" href="https://www.formstack.com/forms/css/3/ie.css?20140508" />
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| − | <![endif]-->
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| − | <!--[if IE 7]><link rel="stylesheet" type="text/css" media="all" href="https://www.formstack.com/forms/css/3/ie7.css" /><![endif]-->
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| − | <!--[if IE 6]><link rel="stylesheet" type="text/css" media="all" href="https://www.formstack.com/forms/css/3/ie6fixes.css" /><![endif]-->
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| − | <link rel="stylesheet" type="text/css" href="//static.formstack.com/forms/css/3/reset.css" />
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| − | <link rel="stylesheet" type="text/css" href="//static.formstack.com/forms/css/3/default.css" />
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| − | <link rel="stylesheet" type="text/css" href="//static.formstack.com/forms/css/3/blueDots.css" />
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| − | <link rel="stylesheet" type="text/css" href="//static.formstack.com/forms/css/3/jquery-ui.css" />
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| − | <style type="text/css">
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| − | </style>
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| − | </head>
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| − | <body class="fsBody" id="fsLocal">
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| − | <form method="post" novalidate enctype="multipart/form-data" action="https://www.formstack.com/forms/index.php" class="fsForm fsSingleColumn fsMaxCol1" id="fsForm1954627">
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| − | <input type="hidden" name="form" value="1954627" />
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| − | <input type="hidden" name="viewkey" value="IBO79exMgF" />
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| − | <input type="hidden" name="hidden_fields" id="hidden_fields1954627" value="" />
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| − | <input type="hidden" name="_submit" value="1" />
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| − | <input type="hidden" name="incomplete" id="incomplete1954627" value="" />
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| − | <input type="hidden" name="style_version" value="3" />
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| − | <div role="alert" id="requiredFieldsError" style="display:none;">Please fill in a valid value for all required fields</div>
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| − | <div role="alert" id="invalidFormatError" style="display:none;">Please ensure all values are in a proper format.</div>
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| − | <div role="alert" id="resumeConfirm" style="display:none;">Are you sure you want to leave this form and resume later?</div>
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| − | <div role="alert" id="fileTypeAlert" style="display:none;">You must upload one of the following file types for the selected field:</div>
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| − | <div role="alert" id="embedError" style="display:none;">There was an error displaying the form. Please copy and paste the embed code again.</div>
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| − | <div role="alert" id="applyDiscountButton" style="display:none;">Apply Discount</div>
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| − | <div role="alert" id="dcmYouSaved" style="display:none;">You saved</div>
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| − | <div role="alert" id="dcmWithCode" style="display:none;">with code</div>
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| − | <div role="alert" id="submitButtonText" style="display:none;">Submit Form</div>
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| − | <div role="alert" id="submittingText" style="display:none;">Submitting</div>
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| − | <div role="alert" id="autocaptureDisabledText" style="display:none;"></div>
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| − | <div class="fsPage" id="fsPage1954627-1">
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| − | <div class="fsSection fs1Col" id="fsSection30915228">
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| − | <div class="fsSectionHeader">
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| − | <h2 class="fsSectionHeading">Incident Report Form</h2>
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| − | </div>
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| − | <div id="fsRow1954627-2" class="fsRow fsFieldRow fsLastRow">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell30914576" lang="en">
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| − | <span id="label30914576" class="fsLabel fsRequiredLabel">Your Name<span class="fsRequiredMarker">*</span></span>
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| − | <div class="fsSubFieldGroup">
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| − | <div class="fsSubField">
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| − | <input type="text" id="field30914576-first" name="field30914576-first" size="50" value="" required class="fsField fsFieldName fsRequired" aria-required="true" />
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| − | <label class="fsSupporting fsRequiredLabel" for="field30914576-first">First Name<span class="hidden">*</span></label>
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| − | </div>
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| − | <div class="fsSubField">
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| − | <input type="text" id="field30914576-last" name="field30914576-last" size="50" value="" required class="fsField fsFieldName fsRequired" aria-required="true" />
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| − | <label class="fsSupporting fsRequiredLabel" for="field30914576-last">Last Name<span class="hidden">*</span></label>
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| − | </div>
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| − | </div>
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| − | <div class="clear"></div>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-3" class="fsRow fsFieldRow fsLastRow">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell30914577" lang="en">
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| − | <label id="label30914577" class="fsLabel" for="field30914577">Your NASPA ID </label>
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| − | <input type="text" id="field30914577" name="field30914577" size="50" value="" class="fsField fsAutocomplete" />
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| − | <input type="hidden" id="field30914577_options" value="Executive director/Owner/Self-employed|Administrative level|Managerial level|Staff level|" />
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-4" class="fsRow fsFieldRow fsLastRow">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell30914578" lang="en">
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| − | <label id="label30914578" class="fsLabel fsRequiredLabel" for="field30914578">Your Email Address<span class="fsRequiredMarker">*</span> </label>
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| − | <input type="email" id="field30914578" name="field30914578" size="50" required="required" value="" class="fsField fsFormatEmail fsRequired" aria-required="true" />
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-5" class="fsRow fsFieldRow fsLastRow">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell30914579" lang="en">
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| − | <fieldset id="label30914579">
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| − | <legend class="fsLabel fsRequiredLabel fsLabelVertical"><span>Date of Incident<span class="fsRequiredMarker">*</span></span></legend>
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| − | <div class="fieldset-content">
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| − | <!-- Used to pull in url for jquery -->
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| − | <span style="display:none;" id="fsCalendar30914579ImageUrl">https://www.formstack.com/forms/images/2/calendar.png</span>
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| − | <input type="hidden" id="field30914579Format" name="field30914579Format" value="MDY" />
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| − | <div class="hidden"><label for="field30914579M">Month</label></div>
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| − | <select id="field30914579M" name="field30914579M" class="fsField fsRequired" aria-required="true">
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| − | <option value="" selected="selected"> </option>
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| − | <option value="Jan">Jan</option>
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| − | <option value="Feb">Feb</option>
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| − | <option value="Mar">Mar</option>
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| − | <option value="Apr">Apr</option>
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| − | <option value="May">May</option>
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| − | <option value="Jun">Jun</option>
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| − | <option value="Jul">Jul</option>
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| − | <option value="Aug">Aug</option>
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| − | <option value="Sep">Sep</option>
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| − | <option value="Oct">Oct</option>
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| − | <option value="Nov">Nov</option>
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| − | <option value="Dec">Dec</option>
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| − | </select>
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| − | <div class="hidden"><label for="field30914579D">Day</label></div>
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| − | <select id="field30914579D" name="field30914579D" class="fsField fsRequired" aria-required="true">
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| − | <option value="" selected="selected"> </option>
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| − | <option value="01">01</option>
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| − | <option value="02">02</option>
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| − | <option value="03">03</option>
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| − | <option value="04">04</option>
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| − | <option value="05">05</option>
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| − | <option value="06">06</option>
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| − | <option value="07">07</option>
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| − | <option value="08">08</option>
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| − | <option value="09">09</option>
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| − | <option value="10">10</option>
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| − | <option value="11">11</option>
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| − | <option value="12">12</option>
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| − | <option value="13">13</option>
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| − | <option value="14">14</option>
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| − | <option value="15">15</option>
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| − | <option value="16">16</option>
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| − | <option value="17">17</option>
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| − | <option value="18">18</option>
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| − | <option value="19">19</option>
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| − | <option value="20">20</option>
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| − | <option value="21">21</option>
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| − | <option value="22">22</option>
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| − | <option value="23">23</option>
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| − | <option value="24">24</option>
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| − | <option value="25">25</option>
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| − | <option value="26">26</option>
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| − | <option value="27">27</option>
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| − | <option value="28">28</option>
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| − | <option value="29">29</option>
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| − | <option value="30">30</option>
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| − | <option value="31">31</option>
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| − | </select>
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| − | <div class="hidden"><label for="field30914579Y">Year</label></div>
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| − | <select id="field30914579Y" name="field30914579Y" class="fsField fsRequired" aria-required="true">
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| − | <option value="" selected="selected"> </option>
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| − | <option value="2010">2010</option>
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| − | <option value="2011">2011</option>
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| − | <option value="2012">2012</option>
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| − | <option value="2013">2013</option>
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| − | <option value="2014">2014</option>
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| − | <option value="2015">2015</option>
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| − | <option value="2016">2016</option>
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| − | <option value="2017">2017</option>
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| − | <option value="2018">2018</option>
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| − | <option value="2019">2019</option>
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| − | <option value="2020">2020</option>
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| − | </select>
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| − | <input type="text" id="fsCalendar30914579Link" class="fsCalendarPickerLink" style="display:none;" aria-required="true" />
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| − | <div id="fsCalendar30914579" class="fsCalendar" style=" position:absolute"></div>
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| − | </div></fieldset>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-6" class="fsRow fsFieldRow fsLastRow">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell30914580" lang="en">
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| − | <fieldset id="label30914580">
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| − | <legend class="fsLabel fsRequiredLabel fsLabelVertical"><span>At what type of event did this incident occur?<span class="fsRequiredMarker">*</span></span></legend>
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| − | <div class="fieldset-content">
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| − | <label class="fsOptionLabel vertical" for="field30914580_1"><input type="radio" id="field30914580_1" name="field30914580" value="NASPA-sanctioned tournament" class="fsField fsRequired vertical" aria-required="true" />NASPA-sanctioned tournament</label>
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| − | <label class="fsOptionLabel vertical" for="field30914580_2"><input type="radio" id="field30914580_2" name="field30914580" value="NASPA-sanctioned club" class="fsField fsRequired vertical" aria-required="true" />NASPA-sanctioned club</label>
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| − | <div class="vertical fs-clear">
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| − | <label class="fsOptionLabel vertical" for="field30914580_other"><input type="radio" id="field30914580_other" name="field30914580" value="Other" class="fsField fsRequired" aria-required="true" />Other:</label>
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| − | <input type="text" id="field30914580_othervalue" name="field30914580_other" size="15" class="fsOtherField" aria-required="true" /><label class="fsHiddenLabel" style="display: none;" for="field30914580_othervalue">Other Value</label>
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| − | </div>
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| − | </div></fieldset>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-7" class="fsRow fsFieldRow fsLastRow">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell30914581" lang="en">
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| − | <label id="label30914581" class="fsLabel fsRequiredLabel" for="field30914581">Who was involved in the incident? (List all accused offenders, victims, and witnesses. Include contact information for non-NASPA members)<span class="fsRequiredMarker">*</span> </label>
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| − | <textarea id="field30914581" name="field30914581" rows="10" cols="50" required class="fsField fsRequired" aria-required="true"></textarea>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-8" class="fsRow fsFieldRow fsLastRow">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell30914583" lang="en">
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| − | <fieldset id="label30914583">
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| − | <legend class="fsLabel fsRequiredLabel fsLabelVertical"><span>What Code of Conduct violation(s) occurred?<span class="fsRequiredMarker">*</span></span></legend>
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| − | <div class="fieldset-content">
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| − | <label class="fsOptionLabel vertical" for="field30914583_1"><input type="checkbox" id="field30914583_1" name="field30914583[]" value="Abuse of Equipment (Class 1.a.)" class="fsField fsRequired vertical" aria-required="true" />Abuse of Equipment (Class 1.a.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_2"><input type="checkbox" id="field30914583_2" name="field30914583[]" value="Verbal Abuse (Class 1.b.)" class="fsField fsRequired vertical" aria-required="true" />Verbal Abuse (Class 1.b.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_3"><input type="checkbox" id="field30914583_3" name="field30914583[]" value="Audible Obscenities (Class 1.c.)" class="fsField fsRequired vertical" aria-required="true" />Audible Obscenities (Class 1.c.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_4"><input type="checkbox" id="field30914583_4" name="field30914583[]" value="Visible Obscenities (Class 1.d.)" class="fsField fsRequired vertical" aria-required="true" />Visible Obscenities (Class 1.d.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_5"><input type="checkbox" id="field30914583_5" name="field30914583[]" value="Written Obscenities (Class 1.e.)" class="fsField fsRequired vertical" aria-required="true" />Written Obscenities (Class 1.e.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_6"><input type="checkbox" id="field30914583_6" name="field30914583[]" value="Leaving the Playing Area During a Game without Legitimate Cause (Class 1.f.)" class="fsField fsRequired vertical" aria-required="true" />Leaving the Playing Area During a Game without Legitimate Cause (Class 1.f.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_7"><input type="checkbox" id="field30914583_7" name="field30914583[]" value="Deliberate Noncooperation with Tournament Officials (Class 1.g.)" class="fsField fsRequired vertical" aria-required="true" />Deliberate Noncooperation with Tournament Officials (Class 1.g.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_8"><input type="checkbox" id="field30914583_8" name="field30914583[]" value="Unsportsmanlike Conduct (Class 1.h.)" class="fsField fsRequired vertical" aria-required="true" />Unsportsmanlike Conduct (Class 1.h.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_9"><input type="checkbox" id="field30914583_9" name="field30914583[]" value="Physical Abuse (Class 2.a.)" class="fsField fsRequired vertical" aria-required="true" />Physical Abuse (Class 2.a.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_10"><input type="checkbox" id="field30914583_10" name="field30914583[]" value="Intimidation, Threats, and Harassment (Class 2.b.)" class="fsField fsRequired vertical" aria-required="true" />Intimidation, Threats, and Harassment (Class 2.b.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_11"><input type="checkbox" id="field30914583_11" name="field30914583[]" value="Cheating (Class 3.a.)" class="fsField fsRequired vertical" aria-required="true" />Cheating (Class 3.a.)</label>
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| − | <label class="fsOptionLabel vertical" for="field30914583_12"><input type="checkbox" id="field30914583_12" name="field30914583[]" value="Suspicious Behavior (Class 3.b.)" class="fsField fsRequired vertical" aria-required="true" />Suspicious Behavior (Class 3.b.)</label>
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| − | </div></fieldset>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-9" class="fsRow fsFieldRow fsLastRow">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell30914584" lang="en">
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| − | <label id="label30914584" class="fsLabel fsRequiredLabel" for="field30914584">Please provide a detailed description of the incident<span class="fsRequiredMarker">*</span> </label>
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| − | <textarea id="field30914584" name="field30914584" rows="10" cols="50" required class="fsField fsRequired" aria-required="true"></textarea>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-10" class="fsRow fsFieldRow fsLastRow fsHidden">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell30914585" lang="en">
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| − | <fieldset id="label30914585">
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| − | <legend class="fsLabel fsRequiredLabel fsLabelVertical"><span>Would you like to upload a file in connection with this incident report?<span class="fsRequiredMarker">*</span></span></legend>
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| − | <div class="fieldset-content">
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| − | <label class="fsOptionLabel vertical" for="field30914585_1"><input type="radio" id="field30914585_1" name="field30914585" value="Yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />Yes</label>
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| − | <label class="fsOptionLabel vertical" for="field30914585_2"><input type="radio" id="field30914585_2" name="field30914585" value="No" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />No</label>
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| − | </div></fieldset>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-11" class="fsRow fsFieldRow fsLastRow fsHidden">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell30915414" lang="en">
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| − | <label id="label30915414" class="fsLabel" for="field30915414">Please select the file to upload </label>
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| − | <input type="file" id="field30915414" name="field30915414" size="50" class="fsField fsUpload uploadTypes-jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" disabled="disabled" />
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| − | <div class="showMobile">File uploads may not work on some mobile devices.</div>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-12" class="fsRow fsFieldRow fsLastRow fsHidden">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell30915517" lang="en">
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| − | <fieldset id="label30915517">
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| − | <legend class="fsLabel fsRequiredLabel fsLabelVertical"><span>Would you like to upload a second file in connection with this incident report?<span class="fsRequiredMarker">*</span></span></legend>
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| − | <div class="fieldset-content">
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| − | <label class="fsOptionLabel vertical" for="field30915517_1"><input type="radio" id="field30915517_1" name="field30915517" value="Yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />Yes</label>
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| − | <label class="fsOptionLabel vertical" for="field30915517_2"><input type="radio" id="field30915517_2" name="field30915517" value="No" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />No</label>
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| − | </div></fieldset>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-13" class="fsRow fsFieldRow fsLastRow fsHidden">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell30915535" lang="en">
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| − | <label id="label30915535" class="fsLabel" for="field30915535">Please select the file to upload </label>
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| − | <input type="file" id="field30915535" name="field30915535" size="50" class="fsField fsUpload uploadTypes-jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" disabled="disabled" />
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| − | <div class="showMobile">File uploads may not work on some mobile devices.</div>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-14" class="fsRow fsFieldRow fsLastRow fsHidden">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell30915697" lang="en">
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| − | <fieldset id="label30915697">
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| − | <legend class="fsLabel fsRequiredLabel fsLabelVertical"><span>Would you like to upload a third file in connection with this incident report?<span class="fsRequiredMarker">*</span></span></legend>
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| − | <div class="fieldset-content">
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| − | <label class="fsOptionLabel vertical" for="field30915697_1"><input type="radio" id="field30915697_1" name="field30915697" value="Yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />Yes</label>
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| − | <label class="fsOptionLabel vertical" for="field30915697_2"><input type="radio" id="field30915697_2" name="field30915697" value="No" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />No</label>
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| − | </div></fieldset>
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| − | </div>
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| − | </div>
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| − | <div id="fsRow1954627-15" class="fsRow fsFieldRow fsLastRow fsHidden">
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| − | <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell30915722" lang="en">
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| − | <label id="label30915722" class="fsLabel" for="field30915722">Please select the file to upload </label>
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| − | <input type="file" id="field30915722" name="field30915722" size="50" class="fsField fsUpload uploadTypes-jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" disabled="disabled" />
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| − | <div class="showMobile">File uploads may not work on some mobile devices.</div>
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