USYF Player Safety Initiatives & Safeguarding
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Nature of allegation(s) - Please select all that apply  *
Required
Allegation of child abuse?

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Based on the definition of "child abuse" associated with the SafeSport Act
Date of Incident/concern *
MM
/
DD
/
YYYY
Did this occur over multiple days? *
Details of incident/issue
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Please provide a description of where this incident/issue occurred using specific, concise, and objective language. 
Details of incident/issue
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Please provide a description of when this incident/issue occurred, using specific times (i.e. 12:15 pm or between 2:00pm - 3:00 pm) 
Details of incident/issue
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Please provide a description of what happened in this incident/issue using specific, concise, and objective language. Please provide as much information as possible to assist us in reviewing and responding to your concern.
Details of incident/issue
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Please provide any information regarding witnesses to this incident/issue. If possible, please include name(s), contact information, or any other information to help identify parties that may have witnessed the incident/issue. 
Have you or has anyone reported this matter to appropriate law enforcement authorities? *
Have you or has anyone reported this matter to the U.S. Center for SafeSport? *
 Note that not all cases are required to be reported to the U.S. Center for SafeSport.
Have you or has anyone reported this matter to the U.S. Soccer Federation? *
 Note that not all cases are required to be reported to the U.S. Soccer Federation 
Has this matter been reported to or reviewed by the applicable club, member organization, or another entity, if applicable? *
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