Bad Date Reporting

The information you provide will be kept anonymous.

We will not be collecting any identifiable information about you, just the Bad Date. The purpose is to help others know who to avoid and situations to be aware of.

There are 2 ways to submit a Bad Date Report:

1 Download and email your completed Bad Date Reporting Form to

2 Fill out the online reporting form below and click Submit when you are finished.

Incidence Type (check all that apply)

Physical Description of Bad Date

Vehicle Description

Thank you for taking the time to fill out this Bad Date Report.