| Ban Location: Discord / Forums / Server (select "server" if its an infraction) | YOUR_TEXT_HERE |
| Ban or Infraction (if it is a ban, please provide the ban ID in brackets) | YOUR_TEXT_HERE |
| Is this a ban extension request | YOUR_TEXT_HERE |
| Applicable Account ID | YOUR_TEXT_HERE |
| Applicable Name (in-game name, Discord name, Forum name) | YOUR_TEXT_HERE |
| Date and time of issued ban (including timezone) | YOUR_TEXT_HERE |
| Length of ban issued | YOUR_TEXT_HERE |
| Reason for the ban | YOUR_TEXT_HERE |
| Why do you think this ban was justified | YOUR_TEXT_HERE |
| Was there an investigation, previous messages reviewed, etc. | YOUR_TEXT_HERE |
| Were all offenders punished, or did you turn a blind eye to your "friends" | YOUR_TEXT_HERE |
| Evidence: (Discord Chat links, screenshots, in-game logs, videos, full server logs) | YOUR_TEXT_HERE |