[Date and Time]

[Location]: Include any landmarks or details that pinpoint your location.

[Description of Harasser(s)]:

Physical Description: gender, age, height, build, tattoos, scars

Clothing: colors and styles

Facial Features: Mention any distinctive facial features, such as facial hair, glasses, or notable expressions.

[Vehicle Information (if applicable)]:

License Plate and state. Make, Model, Color, damage or stickers

[Behavior and Interaction]:

Describe the actions

Mention any verbal exchanges or threats made during the incident.

Witnesses

[Safety Measures]