This form is used to report concerns to FIRST Headquarters. This form can be used to report a variety of issues including concerns that are 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 review your concerns and may contact you as appropriate/necessary to set up an appointment to discuss the reported issue. 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.  FIRST prohibits any form of retaliation. If you feel any form of retaliation occurs, report it immediately, so it can be addressed. 

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 them to and reference the date of the report.

Question Title

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