USA Swimming Violation Reporting Form

Report Submitted By:

You may remain anonymous; however, providing your information contributes to a swift and effective investigation. All reports are kept confidential pursuant to USA Swimming’s National Board of Review Procedures.  Retaliation of a report made in good faith is prohibited under the USA Swimming’s Rulebook, the USA Swimming Whistleblower and Anti-Retaliation Policy and/or the SafeSport Code for the Olympic and Paralympic Movement.

USA Swimming Member? *
Relationship to harmed/aggrieved party (if any):

Person Being Reported:

Gender: *
Position this person holds: *
Location of Incident:

Alleged Offense

(USA Swimming Rulebook can be found here: )

Type of Offense, select all that apply. Articles: *

Individual(s) Who May Have Additional Information

Person 1:
Person 2:
Person 3:

Anti-Retaliation Statement:

No USA Swimming Board members, officers, employees, members, athletes, committee members, task force members, hearing panel members, volunteers, good faith reporter or other reasonable party (e.g., witnesses, victims, etc.) shall suffer harassment, intimidation, adverse employment or livelihood consequences, or any other form of retaliation (“Retaliation”) for (i) making a good faith report of a violation to USA Swimming, the USOPC, or the U.S. Center for SafeSport (the ”Center”), or (ii) participating in an investigation by USA Swimming, the USOPC, or the Center, or an inquiry or investigation by any court, law enforcement, or other governmental or administrative body.  “Retaliation” also includes retaliation as described in Article 307 of the USA Swimming Rulebook and the definition of retaliation included in Section 220501(b)(11) of the Ted Stevens Olympic and Amateur Sports Act (the “Act”).


Additionally, no employee, contractor, agent, volunteer, or USA Swimming itself shall take or threaten to take any action against an athlete as a reprisal for disclosing information to or seeking assistance from the Office of the Athlete Ombuds as outlined in Section 220509(b)(5) of the Act.