This information is required for verification and will be kept confidential.
1. Your Roblox Username & User ID*
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Format: asdjyhlmkjbhdfhj 1718737209
2. Your Discord Username & ID*
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Format: shadowcipher2
Section 2: Offender's Information
Please provide as much information as you can to help us identify the correct user.
3. Offender's Roblox Username*
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guylol478
4. Offender's Discord Username (if applicable)
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This is optional but highly recommended if the incident occurred on Discord.
Section 3: Incident Details
Provide a clear and factual account of the events.
5. Date and Approximate Time of Incident*
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9:09 EST 10/17/2025
6. Location of Incident*
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snk
7. Detailed Description of Events*
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Provide a clear, factual, and chronological account of what happened. Avoid speculation or emotional language. Please answer the following:
What was the context leading up to the incident?
What specific actions did the offender take?
Quote any relevant chat messages exactly as they appeared, if possible.
Were there any other witnesses? If so, please list their usernames.
8. Specific Rule(s) Violated*
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RDM
Section 4: Evidence
EVIDENCE IS MANDATORY.
9. Evidence Links*
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Medal.tv | Record and Share Game Clips
Untitled - Clipped with Medal.tv
Watch Untitled by shadowcipher2123 and millions of other Roblox videos on Medal. Tags: #roblox, #perriscalifornia
Section 5: Acknowledgment
10. Confirmation*
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By submitting this report, I confirm that the information provided is true and accurate to the best of my knowledge. I understand that submitting a deliberately false or malicious report is a violation of community rules and may result in disciplinary action against my own account.
Section 1: Your Information (Reporter)
This information is required for verification and will be kept confidential.
1. Your Roblox Username & User ID*
2. Your Discord Username & ID*
Section 2: Offender's Information
Please provide as much information as you can to help us identify the correct user.
3. Offender's Roblox Username*
4. Offender's Discord Username (if applicable)
Section 3: Incident Details
Provide a clear and factual account of the events.
5. Date and Approximate Time of Incident*
6. Location of Incident*
7. Detailed Description of Events*
8. Specific Rule(s) Violated*
Section 4: Evidence
EVIDENCE IS MANDATORY.
9. Evidence Links*
Section 5: Acknowledgment
10. Confirmation*