LEVEL IV VIOLATION REPORT
NCAA Bylaw 19.12.2: Cases involving only Level IV violations shall be processed by the institution’s athletics
conference. The conference shall work with the institution to determine whether compliance deficiencies need to
be addressed and, if so, the appropriate penalties to be prescribed, if any. In cases involving multiple or repeated
Level IV violations, the conference may consult with the NCAA enforcement staff to conclude whether the
allegations should be treated as Level III violations. Any violations processed and penalties prescribed by the
conference shall be kept on file for review by the NCAA enforcement staff. Failure to fully implement the penalties
may subject the institution to disciplinary action by the NCAA.
Process Overview: Level IV violations are listed in Section 2 below. After determining a Level IV violation
occurred, institutions shall complete Sections 1, 2 and 3 below and submit this form to the conference office.
SECTION 1: Background Information.
Institution:
Sport:
Involved Individual(s):
Date of Violation:
SECTION 2: Violation. (Please check applicable violation)
Bylaw
Title
11.1.5
Use of Tobacco Products.
12.5.1.1.5
12.5.1.6
12.5.4
13.1.3.3.1
13.4.1.1
13.4.1.1-(a)
Schedule Cards.
Camps.
Use of Commercial Trademarks or Logos on Equipment, Uniforms, and Apparel.
Official-Visit Exception.
Printed Recruiting Materials.
General Correspondence.
13.4.1.1-(b)
13.4.1.1-(c)
13.4.1.1-(d)
13.4.1.1-(e)
13.4.1.1-(f)
13.4.1.1-(g)
Business Cards.
Camp or Clinic Brochures.
Questionnaires.
Nonathletics Institutional Publications.
NCAA Educational Material Published by the NCAA.
Game Programs.
13.4.1.1-(h)
13.4.1.1-(i)
13.4.1.1-(j)
13.4.1.1.1
13.4.1.1.2
13.4.1.1.2.1
Pre-Enrollment Information.
Institutional Note Cards.
Postcards.
Express Mail Services.
Athletics Publications.
Media Guide Restrictions.
13.4.1.3
13.6.3
13.6.3.1
13.6.4.2
13.9.1
13.11.2.6.2
Other Recruiting Materials.
Requirements for Official Visit.
NCAA Eligibility Center.
Exception to 48-Hour Period for Extenuating Circumstances.
Requirements for Offer of Athletically Related Financial Aid.
After Signing or Acceptance for Enrollment
14.01.3
Compliance with Other NCAA and Conference Legislation.
14.1.3.1
14.1.3.2
Content and Purpose (Student-Athlete Statement).
Administration (Student-Athlete Statement).
14.1.4.1
14.1.4.2
14.1.4.3
Content and Purpose (Drug-Testing Consent Form).
Administration (Drug-Testing Consent Form).
Exception – 14-Day Grace Period.
Content and Purpose (Student-Athlete HIPAA Authorization/Buckley Amendment
Consent Form – Disclosure of Protected Health Information).
Administration (Student-Athlete HIPAA Authorization/Buckley Amendment Consent
Form – Disclosure of Protected Health Information).
Eligibility Requirements for Male Students to Practice with Women’s Teams.
Submission of Information Necessary to Determine Academic Initial-Eligibility Status.
Submission of Information Necessary to Determine Academic Initial-Eligibility Status.
Squad List Form.
14.1.5.1
14.1.5.2
14.1.10
14.5.4.7
14.5.6.8
14.10.2
15.01.5.3 (in
conjunction
with 15.01.5)
15.3.2.1
15.5.11.1
15.5.11.2
15.5.11.2.1
15.5.11.3
15.5.11.3.1
16.3.1.2
17.1.3
17.1.8
Effect of Violation of Conference Rule (15.01.5 – Eligibility of Student-Athletes for
Institutional Financial Aid).
Conformance to Institutional and Conference Regulations.
Eligibility Requirement (Squad List).
Squad List Form.
Procedures (Squad-List Form).
Drug-Testing Consent-Form Requirement.
Exception – 14-Day Grace Period.
Life Skills Programs.
Declaration of Playing Season.
Use of Tobacco Products.
Factual Information and Corrective Actions:
SECTION 3: Institutional Verification.
Submitted By:
Title:
Date:
SECTION 4: Conference Review. (completed by conference staff)
Penalties or Corrective
Actions:
Name:
Date:
Form may be submitted electronically to:
Frank Arredondo, Director of Compliance & Sport Services
farredondo@c-usa.org