[1] Members name.
is he
[2] Report: what rule(s) they broke (quote them).
S5#1 Modified/Hacked client
[3] Did this affect anyone (e.g. they were using their hacks in PvP)?
Modified/Hacked client on PvP
[4] Evidence. (If this includes chat, Phase link one or more messages)

[5] Dimension: (if this is a server report).
PvP
[6] Roughly, the time (in UTC) the offence was made. (if this is a
server report)
(9:17 AM CST) (1:17 PM UTC)