- What is your username in the room?
- Which room were you kicked/banned from?
- Are you complaining about a kick or a ban?
- What was the reason given for the kick/ban?
- How long was the kick/ban for?*
- Why do you feel the kick/ban was not justified?
- Date and approx. time of kick/ban:
- Do you know the name of the Moderator/Admin that kicked/banned you?