The DSUSA form should be used to report all forms of misconduct to DSUSA and for DSUSA action. This form does not meet your requirement to make a report to law enforcement where required to do so.

  • Offender Information

    This section is about the individual you are reporting. Please provide as much information as possible.
  • City, State required
  • Incident Information

    This section asks questions about the incident or incidents you are reporting. Please provide as much specific information as you are able.
  • Victim Information

    This section is for information about the victim or victims. If you are the victim and wish to remain anonymous, you may do so. In that case, please enter only your age, city, state, and chapter affiliation.
  • Reporter's Information

    You may remain anonymous if you wish. However, providing your information is vastly helpful to a swift and effective investigation. A person reporting alleged misconduct should not fear any retribution and/or consequence when filing a report he or she believes to be true.
  • Other Information


Questions? Questions?
Ryan Semke | Insurance Program Manager | 240-268-5370| | FAQs

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