SJJIF - SJJIF · Confidential Report

1

Section One · Required

What are you reporting?

This determines how the report is routed internally.

Choose the option that best fits. If you are unsure, choose Safeguarding — we will route it correctly.

Safeguarding concernAbuse, harassment, bullying, or misconduct directed at a person. Competition manipulationMatch-fixing, betting, age fraud, or doping concealment. Integrity or ethical violationGovernance, conflict of interest, or financial misconduct. I'm not surePlease assess and route this for me.

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Section Two · Anonymous-friendly

Are you reporting in your own name?

Anonymous reports are accepted and investigated.

Yes — I want to remain anonymousSkip the contact-details questions below. No — I'll provide my contact detailsLets us follow up with questions and keep you informed.

Full name As you would like us to address you.

Email address Used only to follow up on your report.

Phone (optional) Include country code, e.g. +1 555 123 4567.

Your role

Athlete Coach or instructor Parent or guardian Official or referee Federation staff or volunteer Spectator or member of the public Other

Would you like to receive updates about this case? Subject to confidentiality. We cannot share information about the accused.

Yes No

3

Section Three · Required

When and where did it happen?

Approximate dates are accepted.

Date of incident Best estimate is fine.

Time of incident "Around 6 pm" is acceptable.

Location City, country, and venue or event name. Example: "São Paulo, Brazil — SJJIF Pan-Am 2026" or "Academy ABC, Dallas, TX".

Type of organization involved

SJJIF-sanctioned eventContinental, World, qualifier, exhibition, or camp. National or regional federation activity Academy or club training session OnlineSocial media, messaging app, video call. Other or not sure

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Section Four · Optional

Who was involved?

Provide what you know — partial information is still useful.

The person affected

Name (if known) Leave blank if you don't know, don't want to disclose, or if it's you.

Approximate age

Under 13 13 – 15 16 – 17 18 or older Unknown

Is the affected person under 18? This determines whether minor-protection standards apply.

Yes No Unknown

The person being reported

Name (if known)

Their role

Coach or instructor Athlete Official or referee Federation staff or board member Parent or guardian Other or not sure

Their organization, federation, or academy

Witnesses

Were there any witnesses?

Yes No Unsure

Witness names and how to reach them Names and any contact info — phone, email, or how they can be identified (e.g. "the coach who runs the kids' class on Tuesdays"). Only include people who have agreed to be named, where possible.

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Section Five · Required

What happened, in your own words?

The narrative core of the report.

Stick to facts as you understand them. Include who, what, when, and where if you know. It is OK if you don't have every detail — say "I don't know" or "I'm not sure" where that's true. Do not add accusations beyond what you witnessed or were told.

Was this a single incident or repeated behavior?

Single incident Repeated behaviorSame person, multiple times. A pattern across multiple people I'm not sure

How often, and over what period? Example: "Weekly for the past 6 months" or "Happens at every event we both attend."

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Section Six · Required

What kind of conduct was it?

Select all that apply. A single report may involve multiple types.

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Section Seven · Optional

Do you have any supporting evidence?

A report can be made without any evidence at all.

Important: please do not attach files to this report. Once we acknowledge your report, the assigned Safeguarding Officer will contact you with a secure way to share files.

Yes — I have something No

What kind of evidence do you have? Select all that apply.

Photographs Video recordings Text messages or DMs Emails Screenshots from social media Medical reports Written statements from witnesses Audio recordings Other

Briefly describe the evidence Tell us what you have. Do not attach files here.

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Section Eight · Required

Safety and urgency

A "yes" here triggers an immediate alert to our on-call officer.

Is anyone in immediate danger right now?

Yes No

Please call now

Call your local emergency number before continuing.

After you have called for help and the person is safe, please return to this form and finish submitting it. We need both: emergency services for the immediate situation, and this report so we can act at the SJJIF level.

911 United States 112 European Union 190 Brazil 999 United Kingdom

Is urgent intervention needed within 24–72 hours? Examples: the person being reported still has contact with the affected person; an event is in progress; there is a risk of evidence destruction.

Yes No I'm not sure

Why is this time-sensitive?

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Section Nine · Optional

Has this been reported before?

To SJJIF, a federation, your academy, the police, or anyone else.

Yes No I'm not sure

Who was it reported to, and roughly when? Example: "Reported to Coach X verbally in March 2025" or "Filed police report in São Paulo on 12 April 2025." Include outcomes if you know them.

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Section Ten · Required

Declaration

By submitting, you confirm the following.

The information provided is true to the best of your knowledge.
This report may be shared with authorized SJJIF officials and, where required by law, with police, child-protection authorities, or other competent governing bodies.
Knowingly false reports made with malicious intent may result in disciplinary action under Section 6 of the SJJIF Safeguarding Policy.
Reports made in good faith are protected from retaliation under Section 10.4 of the SJJIF Safeguarding Policy, even if not ultimately substantiated.

I have read and agree to the declaration above.

A few items still need your attention:

Your report will be sent securely to the SJJIF Safeguarding and Integrity officers. You will receive a confirmation reference number on the next screen.

Confidential Report