AI Risk & Harm Disclosure Form

Report any AI-related harm, issue, or unexpected behavior. Submit in your native language using text, files, or recordings. Your report will be securely processed, translated, and reviewed to support safer AI systems globally.

Your Name:

Your Email:

Phone Number (optional):

Country:

Your Address:

Title of the Report:

Details of the Report:

Upload Supporting Documents

Supported file types: .PDF, .DOC, MP4, MP3, JPG, and PNG.

Choose Files

Language of Supporting Documents: Choose the language of the supporting documents you uploaded, or the video or audio you recorded.

Alternatively, you can select "Not Applicable" when necessary. For example, if you upload an image that does not contain any language-specific content, you can choose "Not Applicable" from the language list.

This field is optional if you did not upload supporting documents or did not record a video or audio for submission.

Or Record Voice / Video in Your Native Language

Your information will be kept confidential and used only for the purpose of addressing the reported harm.

AI Risk & Harm Disclosure Form

You may leave this section blank if you prefer to upload documents or record video or audio in any African language of your choice. Please note that at least one of the following is required to submit your report: Details of the report Uploading files Recording video or audio

✅ Report Submitted

You may leave this section blank if you prefer to upload documents or record video or audio in any African language of your choice.

Please note that at least one of the following is required to submit your report:

Details of the report

Uploading files

Recording video or audio