Cycling BC Safe Sport Incident Report Form

Cycling BC is committed to ensuring that all of our participants are able to enjoy the sport in a safe and inclusive environment that is free of abuse, harassment, and discrimination. A safe environment is a shared responsibility of each individual member of our cycling community.

For provincial team and Cycling BC events/activities-related concerns, please complete the following form and submit it. This form will be received by the Cycling BC Executive Director.

An individual who files a complaint has the following responsibilities:

  • To report the incident(s) as soon as possible, especially if their safety and/or the safety of others is at risk;
  • To provide as much detail as possible about the alleged conduct, including the date, time, and location of the incident(s), the name of the person alleged to have engaged in misconduct, details of what happened and/or what was said, names of any witnesses, description of action taken (if any), and copies of any documents that may be relevant, e.g., a letter, email, or note that pertains to any matter in issue;
  • To cooperate fully in the investigation and resolution of any concerns, incidents, and complaints;
  • To uphold the strict confidentiality of all individuals involved in the matter; and,
  • To refrain from knowingly submitting a false, malicious, or vexatious report of misconduct or complaint to Cycling BC.

For more information, please review the appropriate Cycling BC policy that may be found here. If you have questions or concerns prior to submission, please contact Cycling BC at info@cyclingbc.net.

Safe Sport Incident Report Form

This incident report is being completed by:

A copy of the completed and submitted report will be directed to the Cycling BC Executive Director.
Name(Required)
Address(Required)
if applicable
Please indicate who you are completing this incident report for:(Required)

About the Incident

City, Province and/or Venue
Time of Incident(Required)
:
Name of Affected Person:
If different from person completing this form.
If different from person completing this form.
If different from person completing this form.
If different from person completing this form.
Is the affected person a minor (under 18 years old)?(Required)
Have you contacted any authorities in relation to the incident?(Required)
Did this incident appear to breach the BC Universal Code of Conduct (BC UCC) or Universal Code of Conduct to Prevent and Address Maltreatment in Sport (UCCMS)?(Required)
View both at cyclingbc.net/about/official-documents/
What would you like the outcome of this incident report to be?(Required)
Please check all that apply.
Digital Signature(Required)
This field is for validation purposes and should be left unchanged.

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Cycling BC is a fully remote workplace and acknowledges the ancestral and unceded territory of the Indigenous people of all the lands we are on today. We encourage staff, members, and partners to reflect on the history of the land we inhabit and the Indigenous people who call this land home by going to native-land.ca

Please direct all mail to the following address.

Cycling British Columbia
PO Box 44001 RPO Kensington SQ
Burnaby, BC
V5B 4Y2

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