USRowing Safe Sport Incident Reporting Form

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USRowing strongly encourages the reporting of all forms of misconduct.

If you're reporting an allegation of Sexual Misconduct
If your allegation meets the definition of Sexual Misconduct as described in the USRowing Safe Sport Policy Manual, you MUST submit it directly to the U.S. Center for SafeSport. Offenses include, but are not limited to: sexual or gender-related harassment, non-consensual sexual contact or intercourse, (or attempts to commit the same), sexual exploitation, intimate relationships involving an imbalance of power, or bullying, hazing, or other inappropriate conduct of a sexual nature.

To report a concern to the U.S. Center for SafeSport, go HERE or call 833-5US-SAFE (587-7233).

If you're reporting suspicion of Child Abuse
If your suspicion meets the definition of Child Abuse as described in the USRowing Safe Sport Policy Manual, Section 203 of the Victims of Child Abuse Act of 1990, or any applicable state law, you MUST contact law enforcement AND report your concern directly to the U.S. Center for SafeSport. Child Abuse is defined by the Victims of Child Abuse Act of 1990 as physical or sexual abuse or neglect of a child, including human trafficking and the production of child pornography.

Reporting issues of misconduct to USRowing may be done using this USRowing Safe Sport Reporting Form, USRowing Safe Sport e-mail: USRowingSafeSport@usrowing.org, or by phone at 609-751-0713.

Reporting of issues of misconduct may be made anonymously. However, USRowing encourages the complainant to provide enough detail to allow for a proper investigation, if required.

For all other misconduct concerns, select NEXT below.
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Role of Individual You Are Reporting* This field is required.Choose all that apply
Coach
Member Organization Staff, Administrator, and/or Board Member
Parent
Athlete
Referee
Regatta Staff and/or Volunteer
Vendor
Chaperone and/or Support Person
Personal Care Assistant
Other
Not Sure
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About the Individual You Are Reporting
First Name
Last Name
Age
Member Organization
City & State
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Gender of the Individual You Are Reporting
Male
Female
Non-Binary
Other
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Start Date of IncidentWhen did the alleged misconduct happen?
Date
Year
Month
Day
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End Date of IncidentWhen did the alleged misconduct happen?
Date
Year
Month
Day
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Type of Misconduct* This field is required.All allegations of sexual misconduct or child abuse must be reported directly to the U.S. Center for SafeSport. Please visit https://uscenterforsafesport.org/report-a-concern or call 833-5US-SAFE (587-7233).
Physical Misconduct
Emotional Misconduct
Failure to Report
Failure with Center's process
Bullying
Harassment
Hazing
Violation of the MAAPP
Retaliation
Aiding & Abetting
Criminal Charges/Dispositions
Other Inappropriate conduct
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Type of Violation of MAAPP reported to USRowingChoose all that apply
Limiting one-on-one interactions (including meetings and individual training sessions, athletic training Modalities, Massages and Rubdowns)
Locker Rooms and Changing Areas
Electronic Communications
Transportation
Lodging
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Description of Incident* This field is required.Please describe what happened.
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Where did the incident take place?* This field is required.(city, state and any other available location information, such as in the locker room, at the boathouse, on the docks, at a fundraiser, etc.
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Age of the Primary Victim
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More about the Primary Victim
First Name
Last Name
Email (Note: if this person is under 18, please provide a contact email for the parent/guardian.)
Member Organization
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Phone Number of the Primary VictimIf this person is under 18, please provide a contact for the parent/guardian.
Please enter a valid phone number.
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Gender of the Primary Victim
Male
Female
Non-Binary
Other
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Additional Victim(s) if applicableIf there are additional victims, please provide as much information as possible.
Additional Victim Name 1
Additional Victim Email 1
Additional Victim Name 2
Additional Victim Email 2
Additional Victim Name 3
Additional Victim Email 3
Additional Victim Name 4
Additional Victim Email 4
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About YouYou may remain anonymous if you wish by skipping this section. However, providing your contact information is helpful for a swift and effective investigation. USRowing and the U.S. Center for SafeSport maintain strong anti-retaliation stances to ensure the protection of claimants and reporters.
First Name
Last Name
Member Organization
City
State
Please enter your email
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Please enter your phone number.
Please enter a valid phone number.
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Your Gender
Male
Female
Non-Binary
Other
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Your relationship to the victim* This field is required.Select all that apply
Self
Other family member
You are the parent/guardian
Friend or acquaintance
You are a club member, coach or volunteer
Other/prefer not to say
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Other InformationIf you have any other information that you feel would be helpful to an investigation of the alleged offense you have reported, please enter it here.
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Do you have any supporting documents?You can upload any supporting documents along with this incident report.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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On a scale of 1-5, how would you rate your experience filling out this form? If you had challenges filling out this form, you can choose to email a report to USRowingSafeSport@usrowing.org.
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Unique ID
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Tags
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