www.shiftcalgary.org
Bad Date Reporting Form
 

Bad Date Reporting Form

The bad date sheet is produced on a monthly basis. Please look in the Resources section of this site for the most recent Bad Date Sheet.  

Type of Incident  Request unreasonable services
  Choking
  Confinement
  Torture
  Threats
  Physical Abuse
  Robbery
  Agression
  Rape
  Creepy behaviour (eg. cold baths or showers requested before sex)
Date of incident:
Time of incident:
Location of incident:
Services the date requested:
Where did you meet the date?
Did the date pay in advance?:
Did the date carry a weapon?:
If so, what was the type of weapon?
Please give a brief description of the incident:
Name of date:
Age of date:
Weight of date:
Height of date:
Ethnicity of date:
Hair colour and style:
Eye colour:
Clothing:
Distinctive features (beard, tattoo, glasses, jewelry, scars, accents, bad teeth, etc):
Transportation:
Make, model, age, colour or license plate of vehicle:
Automatic or standard transmission:
Automatic or manual locks:
Automatic or manual windows:
Other vehicle features (baby seat, cell phone, stickers, etc):
Have you reported this incident to the police?:
Would you like to report this incident to the vice unit? (if yes, please call 403-206-5950):
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