SAFEGUARDING – REPORT AN ISSUE – Badminton Cook Islands | Kia Orana and Welcome to our Official Website

Thank you for your submission

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.

1. Which of the following best describes the issue you are reporting?
Harassment or Abuse? Doping? Competition Manipulation? Other?

2. Details of person filing the report (you)
Name

Date and time of completing form

Address

Mobile Number

3. Details of incident (what do you know)?

4. Details of alleged victim(s) if known
Name

Address

Mobile Number

Age

5. Did you witness the incident?

6. Third party details – if applicable
Were you informed by a third party?

If so, please provide their details:
Name

Address

Mobile number

7. Other details:
If you spoke to the alleged victim, what did they say? (Do not interview them but do record what they say)

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?

Thank you for your submission

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