oh hm, he must be planning to only share a screenshot of it since otherwise it would breach id rules, never mind my addition then
This is a grey area that we first ran into when DK was making his calendar idol in Super Survivor Bros. During that game DK asked if he could transfer ownership of the form to the mods to avoid ID rules.
We weren't sure how to handle it and consulted the listmod. We were told that, as we suspected, taking ownership of the form was not allowed because it granted too much of a feeling that the mods were actively participating in the fake idol. Ultimately, we were told that DK could use the fake form but if we so much as suspected he was looking at what people actually filled out then the listmods would drop the banhammer on him with prejudice.
Since that was the listmod ruling then, precedent means that this form is allowed unless I hear otherwise.