The purpose of the AYSO Incident Report Form is to capture all pertinent facts and contact information, while the information is readily available, whenever there is a serious incident involving AYSO participants, activities, facilities or property.

The Regional Safety Director is also responsible for distributing, collecting, and storing the forms; and for reporting incidents to the AYSO National Office.

Incident Report Forms should be completed by any coach, referee or Regional staff member witnessing any serious incident involving, but not limited to:

• Injuries
• Illnesses
• Threats of bodily harm
• Fighting whether or not a serious injury occurs
• Property damage
• Hospitalization of a participant
• Law enforcement summoned
• Service or notification of a pending lawsuit

Regional staff, coaches, and referees should be instructed to submit Incident Report Forms to the Regional Safety Director.

IMPORTANT: A copy of each Incident Report must be sent the AYSO National Office via email: [email protected].

Questions? Use the email address or call 800-872-2976.