Incident/Complaint Report Form 

Please use this form to report an Injury/Accident or Complaint. Fill out to the best of your abilities including all relevant details. All information will remain confidential and will only be shared with authorized personnel involved in resolving the incident.

The incident Committee is made up of: Policy & Advocacy Director (Chair), Commissioner, Associate Commissioner, and Diversity, Equity & Inclusion Director. 

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Email *
Would you like to remain Anonymous? 
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Name (First & Last) *
Pronouns *
Email *
Phone Number *
Role *
Sports/Activity being held at time of incident *
What type of incident? *
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