Staff use this to complete action of jailing/banning etc

[Muerte]

Action Took:

For...:

number of warning(s):

Situation

What they did

Past Actions(have they been in-trouble in the past?):

should anymore action be taken my Admin+?

in-gameuser(offender):

Forum name(offender):

In-game name (you)

Forum name (you)

Other info

Evidence?