email SURVA at: commissioner@suncountryvb.org
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Complaint Report Form

Please try to contact your Area Rep for general help or advise. You may contact any Area Rep you choose. Area Rep contact emails can be found on the Welcome Page. Front and center.

This complaint form is for getting you the best response to your concerns, ethical situations or serious problems asap. For Safe Sport issues such as child abuse or other abuse of power concerns please go to the Safe Sport page for details. As always please contact the local authorities in any alleged child abuse situation-physical or sexual.

This form will be forwarded to an investigator for follow up.

Name (not required)

Phone Number (not required)

Email Address (not required)

Initial Information

Who or what is the subject of the complaint?

Type of Complaint

Location of Incident

Date & Time of Incident

Did you see it?

Did you witness the incident?

If not, how did you hear about it?

Please list any other witnesses.

What happened?

Describe what happened in as much detail as possible: