Please fill out the following details to report a breach of integrity or an incident of harassment, abuse or any other threatening or concerning behaviours
Fields marked with * are mandatory
Note: All information provided will be treated confidentially
Harassment or AbuseDopingCompetition ManipulationOther
Date and time of completing form*
If you are the victim, please fill out 'name' in this section, then skip to question 5
Did you witness the incident?*
Were you informed by a third party?*
If yes, please provide their details:
If you spoke to the alleged victim what did they say?* (Do not interview them but do record what they said)
What action did you take?*
Who was notified?* - Where there is risk of immediate harm the police should be informed
Details of any other persons who were told of the incident, or witnessed the incident...*
Any other information?
Do not investigate or carry out any further action unless there is an immediate risk of harm to a person.
Do not discuss with anybody who does not need to know about this allegation.
This document needs to be completed accurately with the information you know.
I believe the information I have provided is true to the best of my knowledge and understand that this document may be disclosed to relevant law enforcement or other agencies who have a responsibility to investigate these matters.*
I confirm that the statement above is true