Youth Protection/Membership Infraction Information Reporting Tool

Current General Incident Details
Person Completing Form
Person Reporting this Incident
Alleged Victim/Target/Injured Party Information
Alleged Policy Violator/Offender Information
Reports
Supporting Documentation
Complete

Allegations of abuse, violations of Scouting America guidelines or policies, inappropriate behavior by a Scout/Scout leader/parent/other.

Submitting this Youth Protection/ Membership Infraction Reporting tool does not eliminate your responsibility to immediately stop the behavior at issue and to protect the youth nor your obligations under Scouting America’s mandatory reporting of child abuse and any other obligations imposed by state law.

Council/BSA Location

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Report type

Suspicion/allegation of abuse

Scouting America policy or guideline violation(s)

Other inappropriate behavior by a Scout/Scout leader/parent/other

Details of incident

What alleged victim/target/injured party said, what reporter observed/was told, similar or past incidents involving the victim(s)/target(s)/injured party (parties) or violator(s)/offenders(s), etc.

Youth Protection/Membership Infraction Information Reporting Tool

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