[b]Name -[/b] What is your in-game name?
[b]STEAM-ID -[/b] What is your STEAM-ID?
[b]Staff Members Name -[/b] Who warned you?
[b]Punishment Reason -[/b] What was the reason of the punishment(s)?
[b]Server -[/b] Which server did this occur on?
[b]Story/Situation -[/b] What happened?
[b]Extra Information -[/b] Anything you would find relevant to your punishments(s)?

[b]Staff Member(s) Name:[/b]

[b]Staff Member(s) SteamID:[/b]

[b]What Did The Staff Member(s) do?:[/b]

[b]What Server(s) Was This On?:[/b]

[b]Evidence:[/b]