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SafeSport Incident Report
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REPORTING YOUR CONCERN

USA Basketball's goal is to be accessible, empathetic and responsive to anyone needing assistance in regard to a SafeSport matter. We understand and respect that asking for help or making a report can be an emotional process.

We want to make reporting as simple as possible. If in doubt or have questions when submitting a report, please contact us at 719-590-4800 or by email at at safesport@usabasketball.com to ask questions.

Please list the individuals involved in this incident including completing as many of the listed fields as possible.

The REPORTING PARTY is the person alleging a violation of the Code.
The RESPONDING PARTY is the person who is alleged to have violated the Code.
A THIRD PARTY REPORTER is a person who reports a possible violation of the Code, that is not the Reporting Party.
A WITNESS is someone who saw or has personal knowledge of a possible violation of the Code.
Please provide a detailed description of the incident/concern using specific concise, objective language (Who, what, where, when, why, and how).





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