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+##### Subject of Complaint
+1.
+
+##### List all the facts and reasoning for the complaint
+1.
+2.
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+4.
+5.
+
+##### Provide context, text and screenshots if necessary
+1.
+2.
+3.
+4.
+5.
+
+##### Provide a self-reflective paragraph of any interactions with the person violating the code of conduct
+1.
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+5.
+
+##### Provide a potential course of action to resolve the situation
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+5.