Code of Conduct

Code of Conduct / Safe Sport

Please include the individuals involved, including as many of the listed fields as you can provide.

The REPORTING PARTY is the person alleging a violation of 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.”

I am a: *

Reporting Party Third Party Reporter Witness

This is a: *

Code of Conduct (non-sexual) Code of Conduct (sexual or SafeSport violation)

Individual in violation of the code: *

State of Residence (if known)

Is this the first instance? *

Yes No

How many other instances has occurred?

Enter the number of instances if known. Enter 0 if unknown.

Are there any witnesses? *

Yes No

Name(s):

Enter the names of the individuals involved.

Details of alleged violation of the code: *

Enter as much detail as you need.

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I would like to be contacted to provide for further details to support this complaint and investigation.

All complaints are confidential.

Name

First Name Last Name

Email

Confirmation Email example@example.com

Phone Number

Area Code Phone Number

Current USA Powerlifting Member?

Yes No

USA Powerlifting Number