| Ban ID (if applicable) | YOUR_TEXT_HERE |
| Your in-game name | YOUR_TEXT_HERE |
| Ban or infraction appeal? | YOUR_TEXT_HERE |
| Date and time of ban/infraction including timezone | YOUR_TEXT_HERE |
| Ban/infraction reason and details | YOUR_TEXT_HERE |
| Why was this ban/infraction wrongfully issued? | YOUR_TEXT_HERE |
| What was the situation which lead to this wrongful ban/infraction? What was happening? | YOUR_TEXT_HERE |
| Any witnesses that can vouch for you? | YOUR_TEXT_HERE |
| Any more information to provide? | YOUR_TEXT_HERE |