To report a bad date, either download the Bad Date Form (PDF) or fill out the form below: Date Completed SW's gender MFT Description of Date Gender MFT Age (approx) Weight/Build Height (feet) Hair (colour/length) Eye Colour Ethnic Origin Clothing Distinctive Features (tattoos, beard, glasses, scars): If more than one person, please describe: Transportation License Plate Make/Model Colour Style newoldsporty Transmission standardautomatic Doors 24van Distinctive Features (car seats, decals, radar detector, GPS, anything broken): Incident Incident Type sexual assaultthreatsaggressionrobberyphysical assaultother Other Date Time How long did the incident last? Where you met Where it happened The date wanted: Weapon yesno Weapon description Were the police notified? yesno By whom Description of what happened What can we do to help you? referral to Street Nurse for testingaccompany you to policefirst aid careother Other Please note contact information and name if you would like us to contact you for the above support. Show us you're real, please enter Captcha as it appears: To use CAPTCHA, you need Really Simple CAPTCHA plugin installed.