Thank you for taking the time to provide the information requested in this online questionnaire. We will use this information in our negotiations with the Boy Scouts of America, and others who may be responsible for what happened, including the local council and sponsoring organization, and to aid our investigation regarding your claim.

Please do not guess or feel compelled to provide answers to questions if you do not know the answer. For example, if for some reason you cannot recall exact dates, please give us your best estimate and let us know that you do not recall specific dates. And please do not be alarmed if you cannot recall the dates as we will likely have other ways to obtain the dates. We understand that you will likely recall more information as time goes on, so please only provide the best information that you can today. You are always welcome to share more information with us, and we will likely have the opportunity to provide more information down the road.

We are providing this form because some people find it easier to provide the information in this fashion. Please let us know if you would rather provide this information over the phone.

Please know that the information you provide to us will be kept confidential and will not be shared with anyone else other than the Boy Scouts of America and others who may be responsible for what happened, including the local council and sponsoring organization.

The following questions are intended to help us further investigate your case.  Please do not be concerned if you do not remember some of these details.  For example, many people do not remember their Troop number, and many do not know the name of the local council that was responsible for their Troop.