[1] Members name.
(4015,377)
[2] Report: what rule(s) they broke (quote them).
[3] Did this affect anyone (e.g. they were using their hacks in PvP)?
The builder i guess
[4] Evidence. (If this includes chat, Phase link one or more messages)
[5] Dimension: (if this is a server report).
Build
[6] Roughly, the time (in UTC) the offence was made. (if this is a
server report)
Found at 17:05 UTC