This form is used to report a concern to FIRST Headquarters. These reports can range from youth protection related, volunteer role related, or any concern that occurs at an event that you would like to alert FIRST about. Someone from FIRST will be contacting you to set up an appointment to discuss these concerns and our process. If you need immediate help and someone is in danger, please dial 911. If you need to report a medical incident, please use the Medical Incident Form

This short form should take approximately 5-10 minutes to complete.

If you have additional documentation (pictures, emails, screenshots, etc)  you would like to include or you have any questions, please send to and reference the date of the incident.

Question Title

* I understand that the personal information I provide in this report will be used as permitted by the FIRST Privacy Policy.