USA Curling Incident Report

Please read this carefully to ensure your concern is directed to the appropriate reporting channels.

Use this form to report suspected incidents of abuse, harassment, bullying, and/or hazing to USA Curling.

If you suspect a minor to be the victim of sexual misconduct, child abuse, or intimate relationships involving an imbalance of power, you must report it to law enforcement and file a complaint directly with the U.S. Center for SafeSport (the Center).

The Center has exclusive jurisdiction over allegations of all sexual misconduct.

The Center also accepts reports of emotional and physical misconduct (including but not limited to bullying, hazing, stalking, and harassment) within the U.S. Olympic and Paralympic Movement.

You can file complaint with the Center online at: https://uscenterforsafesport.org/report-a-concern/

You can also call the the Center directly at 833-5US-SAFE.

There is no cost associated with submitting a complaint to either USA Curling or the U.S. Center for SafeSport.

If you wish to file a grievance with USA Curling that is related to a competition ruling, selection process, operating procedure, or other issue please do so through the Competition Grievance Form.

Information about the Incident

Name of Person Being Reported (Alleged Offender)

Gender of Alleged Offender

Male Female Unknown/Other

Approximate Age of Alleged Offender

Under 18 18-25 26-35 36-55 Over 55

What was the alleged offender's role at the time of the incident (e.g. coach, athlete, official, volunteer, etc.)

What was the name of the event where the alleged incident took place (e.g. Junior Nationals, curling camp, bonspiel etc.)

If the incident did not take place at a USA Curling-Sanctioned event, please share the location (e.g. name of the club, hotel, street address)

When did the incident take place (please note the date/time to the best of your recollection)

Type of offense (check all that apply)

Select all Clear all

Sexual abuse or harassment Physical abuse Emotional abuse Bullying Harassment (non-sexual) Hazing

Please note: If you suspect a minor to be the victim of sexual misconduct, child abuse, or intimate relationships involving an imbalance of power, you must report it to law enforcement and file a complaint directly with the U.S. Center for SafeSport (the Center).

The Center also has exclusive jurisdiction over all allegations of sexual misconduct. You can file complaint with the Center online at: https://uscenterforsafesport.org/report-a-concern/

Please describe what happened in as much detail as possible

Has the incident been reported to local law enforcement authorities?

Yes No Don't Know

Knowledge of victim(s) involved in the alleged offense

I am not aware of any victim(s) I am aware of potential victim(s)

Name(s) of alleged victim(s), if known

If you are a victim and you wish to remain anonymous, you may choose to do so.

Gender of alleged victim(s)

Male Female Male and Female Don't Know/Other

Approximate age(s) of alleged victim(s). If there are multiple victims, please check all boxes that apply

Under 13 13-17 18-25 26-25 36-55 Over 55 Unknown

Please share any additional comments about the victim(s)

Individuals who may have additional information

Please list anyone who may be able to provide additional information about the alleged offense)

Information About You

Reporter Information

If you wish to remain anonymous, you may do so.

However, providing your name and contact information is likely to aid in investigation of the incident. A person reporting alleged misconduct should not fear retribution and/or negative consequences when filing a report that they believe to be true.

First name

Last name

Club Affiliation (if any)

Email

Mobile