Non-Sexual Misconduct Incident Reporting Form
If you need to report a Sexual Misconduct Incident, please visit the U.S. Center for SafeSport for more information.
YOU MAY REPORT ANONYMOUSLY. If you choose to report anonymously, please write ANONYMOUS where it says "Your full name", or simply leave it blank.
Your full name
Your answer
Your phone number
Your answer
Your email address
Your answer
Your email address
Your answer
Date of incident *
MM
/
DD
/
YYYY
Please provide a detailed description of the incident/concern using specific concise, objective language (Who, what, where, when, why, and how).
Your answer
If you are a Covered Adult (an individual over the age of 18 who is subject to SafeSport policies), you are also required to report all instances of possible child abuse and/or neglect to appropriate law enforcement. If you are uncertain whether you are a Covered Adult, review the policies and procedures at www.safesport.org or check with your sport National Governing Body. Does this case involve possible child abuse and/or neglect?
If so, have you reported to appropriate law enforcement authorities?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service