Members name.
 Report: what rule(s) they broke (quote them).
I am not sure if this is strong enough to be reported but the green marked part in the rules quote does it.
 Did this affect anyone (e.g. they were using their hacks in PvP)?
 Evidence. (If this includes chat, Phase link one or more messages)
 Dimension: (if this is a server report).
 Roughly, the time (in UTC) the offence was made. (if this is a
same as report