Snowboard

Incident reporting form

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Providing you a safe space to report your concern

How old are you? *
Does at least one of your parent/guardian give their consent to report the issue?

Yes

Which country are you from*
Please choose your federation*
Please type your snowboarding style *

What would you like to report about?
What is the nature of the issue involved?
Are you reporting a...
Explain it in your own words (What did you observe, how did it happen and other such information )

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Brief description about the incident
Do you know the exact date of the incident?
Date of the incident or concern

MonthDayYear
Approximate date of the incident or concern
Location of the incident or concern *
Details of person(s) responsible for the incident or concern (name, position, role, and all possible information available to you)*

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Do you know if any specific policies, procedures, or laws that you believe have been violated?
Type of policies, procedures, or laws that you believe to be violated

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Are there any immediate risks or threats that need to be addressed urgently? *
What risks or threats?

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Were there any witnesses? *
Full name
Email (if available)
Address (if available)
Phone number (if available)
Were there other witnesses?
Full name
Email (if available)
Address (if available)
Phone number (if available)
Were there other witnesses?
Full name
Email (if available)
Address (if available)
Phone number (if available)
Were there other witnesses?
Full name
Email (if available)
Address (if available)
Phone number (if available)
Were there other witnesses?
Full name
Email (if available)
Address (if available)
Phone number (if available)
Were there other witnesses?
Full name
Email (if available)
Address (if available)
Phone number (if available)
Were there other witnesses?
Full name
Email (if available)
Address (if available)
Phone number (if available)
Were there other witnesses?
Full name
Email (if available)
Address (if available)
Phone number (if available)
Were there other witnesses?
Full name
Email (if available)
Address (if available)
Phone number (if available)
Were there other witnesses?
Full name
Email (if available)
Address (if available)
Phone number (if available)
Do you know if the incident/issue has already been reported to someone? *
What are the details of such reporting? (Who made it, to whom, when, if any action has been taken, and other such information that you are aware of)

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Have you taken any other actions or steps to address the issue? *
What are the details of the action?

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Any picture, video or any other document that you would like to submit

Cancelof
Additional information that you would like to provide

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Information about the present situation
Explain the status of the affected person right now. (Physical status, mental status, and potential danger status or any such information that you would like to share)

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Have parents/caregivers been notified or informed about the incident/concern?
Do you know if any immediate action was taken by anyone with regard to the incident/concern? *
Can you provide the details of such action?

About you
How would you like to report? (We respect your decision, but please remember that if you provide more information about you, the chances of addressing the issue increases highly. Please be assured that all steps shall be taken to protect and perserve your identity.)*
Full name
Address
Email
By checking this box, I hereby consent to the collection, processing, and storage of my personal data provided in this incident reporting form for the purope of reporting the incident and faciliating the necessary investigation. I undersatnd that the information I provide may be shared in a confidential manner, only if needed, with the relevant parties involved in the investigation or disciplinary process. I also understand that I have the right to withdraw my consent at any time, and I also understand that the withdrawal of the consent will not affect the lawfulness of processing based on consent before its withdrawal.*

I understand

About the affected person(s)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)
Is there anybody else affected by your reporting?
Full name
Gender (if known)
Age (if known)
Email (if available)
Address (if available)
Phone number (if available)

Do you have any specific requests or requirements regarding confidentiality?

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Would you like to be contacted for seeking further information with regard to this report? If yes, how?
Type of contact
Any other questions, comments or concerns that you would like to share before submitting the form.

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If deemed necessary and appropriate by the CSCF Sport Integrity Group receiving this form, do you understand that the information submitted in this form shall be shared with the concerned authorities for taking the necessary and apporpriate action.*

I understand
Should be Empty:

Incident reporting form

What would you like to report about?

Brief description about the incident

Information about the present situation

About you

About the affected person(s)