For use after an incident, boundary confusion, or emotional rupture at any Tribal Loves event or within community relationships.

NOTE: This form applies only when a participant, Guardian, or Steward initiates a report. Tribal Loves does not monitor private interactions or require post-scene submissions.



Purpose

To guide members through reflection, repair, and reintegration while documenting the organization’s Duty of Care and restorative-justice commitments.

The form ensures accountability without punishment, compassion without avoidance, and privacy within the PMB legal framework.

All entries are reviewed by the Ethics Steward Council and stored in the Restorative Process Database (Notion) with role-based access.


A · Case Information

Field Example / Instruction
Case ID Auto-generated (e.g., REST-2025-0021)
Event / Context “The Arc of Open Love – Uvita 2026”
Date of Incident / Session yyyy-mm-dd
Parties Involved Scene names or initials only
Report Source Guardian 🛡️ / Steward ⚖️ / Self-Report
Lead Steward Assigned ethics contact
Facilitator Consulted Yes / No + Name
Status Reflection / Repair / Reintegration

B · Reflection Phase

Each party completes individually before mediation.

Prompt Example
What happened (from your perspective)? Describe sequence — no interpretation.
How did it impact you physically or emotionally? “I froze and felt disconnected.”
Which boundaries were crossed or unclear? “Touch began without eye contact.”
What was your own part or assumption? “I did not restate my no when nervous.”
What would repair look like to you? “A conversation and acknowledgment.”

Ethics Steward gathers reflections separately to prevent re-traumatization.


C · Repair Phase (Facilitated Dialogue)

Element Guidance
Meeting Type In person / Online / Written exchange
Facilitator of Dialogue Trained Steward or external mediator
Agreements Reached Summarize specific actions (“Apology letter + 3 months pause”).
Educational Commitments e.g., Retake ARC Level 1 / Coaching session
Timeline for Completion Date or event-based
Follow-Up Check Scheduled Yes / No + Date