Misconduct Reporting Form

USA Lacrosse (USAL) understands that it can be difficult to report suspicions or allegations of misconduct towards athletes (especially child abuse or neglect, including child sexual abuse), and respects the sensitive nature of all reports. When filing a report with the USA Lacrosse Athlete Protection & Safety Program, you are encouraged to provide as much information as possible as it helps to effectively respond to the reported misconduct.

You may report anonymously by omitting any identifying information. However, please be aware that this may limit USAL’s ability to respond to the information you provide. If you wish to report anonymously, either leave identifying information fields blank or put "Anonymous". A copy of this report will also be sent to the email provided in the background information field for your records.

Knowingly making a false or vindictive report will not be tolerated and can result in termination of your USA Lacrosse Membership.

Background Information

Your First Name

Your Last Name

Your Phone Number

Your Email Address

Are you a USA Lacrosse Member?

Type of Membership

Your USAL Membership Number

Incident Report

Directions: Please provide a detailed description of the incident below (including who, what, when, where, why, and how). For example, who was involved in the alleged misconduct, what was the alleged misconduct that occurred, when did the alleged misconduct occur (date, time) and where did the alleged misconduct take place (state, city/town, specific location).

Did this incident occur at a USA Lacrosse operated or sanctioned event?

Incident Details (include event name, location, and date)

Does this incident involve allegations of child abuse or child sexual abuse?

Have you reported this allegation to local law enforcement and child protection services?

Summary of Report

Directions: Please provide all known details in the ‘Summary of Report’ box above, including the name of the agency to which the incident was reported, the case or reference number, a contact person, and any other related information.

By law, any suspicions or allegations of child abuse or neglect (including child sexual abuse) must be reported to law enforcement and child protective services within 24 hours. USAL policy requires that all staff members, volunteers, and members of USAL must report any suspicions or allegations of child abuse or neglect (including child sexual abuse) to law enforcement and child protective services and notify the USAL Athlete Protection & Safety Program.

Involved Parties

Directions: Please list the individuals involved in the alleged misconduct (or individuals who can provide additional information about this matter). Include information on each individual such as name, phone number, email address, lacrosse organization affiliation, date of birth, and USAL membership number if known.

Involved Parties

Supporting Documentation

Directions- Please provide up to three documents that are necessary and relevant to this report. Any additional supporting documents you feel are important can be submitted via email to abuseprevention@usalacrosse.com.

Maximum 3 files.
50 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, pdf, doc, docx, xls, xlsx.

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