EBBI — blank form. · Fill online instead

EBBI

Criminal Incident / Reporting Intake — Ontario

Explore Beyond Borders Inc. · Prepared under Atty. George M. Garvida, Barrister & Solicitor (LSO 68091D)

Form EBBI-CRIM-CMP-2026-10 · Intake only — not legal advice

Intake only. Not legal advice. No solicitor-client relationship until a signed retainer. Danger → 911.

1. You

Given / family name · DOB · citizenship · occupation · referral source

2. Contact

Address · phone · email · preferred contact

3. Role & safety

Role · safety concerns (police first if urgent)

4. Incident

5. Police & evidence

Declaration

I confirm the information is true to the best of my knowledge. Signature: _________________________ Date: ____ / ____ / ______