INTERNATIONAL KENDO FEDERATION （FIK）
SHIAI-SHA (ATHLETE’S) THERAPEUTIC USE EXEMPTION PROCESSWHAT IS A THERAPEUTIC USE EXEMPTION (TUE)?
Athletes may have illnesses or conditions that require them to take medications or undergo procedures. If the medication
or method an athlete is required to use to treat an illness or condition is prohibited as per the World Anti-Doping Agency’s(WADA) Prohibited List a TUE may give that athlete the authorization to use that substance or method while competing
without invoking an anti-doping rule violation (ADRV) and applicable sanction. Applications for TUEs are evaluated by apanel of physicians, the TUE Committee (TUEC).

WHAT ARE THE CRITERIA FOR GRANTING A TUE?
All of the four following criteria must be met (for more details, please refer to the WADA International Standard for
Therapeutic Use Exemptions (ISTUE) Article 4.2):
The shiai-sha has a clear diagnosed medical condition which requires treatment using a prohibited substance ormethod;

The therapeutic use of the substance will not, on the balance of probabilities produce significant enhancement ofperformance beyond the shiai-sha’s normal state of health;The prohibited substance or method is an indicated treatment for the medical condition, and there is no
reasonable permitted therapeutic alternative;

The necessity to use that substance or method is not a consequence of the prior use (without a TUE), of a
substance or method which was prohibited at the time of use.

WHO SHOULD APPLY FOR A TUE? WHERE AND WHEN TO APPLY?
Shiai-shas who are subject to anti-doping rules would need a TUE to take a prohibited substance or use a prohibited
method. You should verify with FIK to know to whom you need to apply and if you can apply retroactively.
First, check if the required medication or method you intend to take, or use is prohibited as per the WADA Prohibited
List.
[Prohibited List / page] You may also use a ‘check your medication’ online too or ask your NADO if it has one.
You have a responsibility to inform your physician(s) that you are an Shiai-sha bound to anti-doping rules. You and yourphysician(s) should check the Prohibited List for the substance/method you are prescribed. If the substance/method isprohibited, discuss non-prohibited alternatives, if there are none, apply for a TUE. Remember Shiai-shas have theultimate responsibility. Contact your NADO or FIK if you are having difficulties.
Then, contact FIK (okuura@kendo.or.jp) to determine your competition level and TUE application requirements.

1 If it is determined that you are an International-Level Shiai-sha you must apply to FIK in advance, as soon as
the need arises, unless there are emergency or exceptional circumstances.
For substances prohibited in-competition only, you should apply for a TUE at least 30 days before your next competition,
unless one of the exceptions on retroactive TUEs (see below) apply.
Please refer to the section “How to apply to FIK for a TUE?” below.
If you already have a TUE granted by your National Anti-Doping Organization (NADO):
In such case, please notify FIK that you have a TUE granted by your NADO.
If your existing TUE does not fall under a category of decision described above, you must submit a request for recognition
to FIK. Please refer to the section “How to submit a request for recognition of your NADO’s TUE to FIK?” below.

 If you are NOT an International-Level Shiai-sha and you have been tested by FIK, FIK recognizes a valid TUE
granted by your NADO (i.e., it satisfies the ISTUE criteria for granting a TUE); unless you are required to apply forrecognition of the TUE because you are competing in an international event.
If you are NOT a National-Level Shiai-sha as defined by your NADO and you have been tested by FIK, you must apply
for a retroactive TUE to FIK.

CAN I GET A RETROACTIVE TUE?
You may only apply retroactively for a TUE to FIK if:

FIK

In rare and exceptional circumstances and notwithstanding any other provision in the ISTUE, you may apply forand be granted retroactive approval for a therapeutic use of a prohibited substance or method, if considering the purposeof the Code, it would be manifestly unfair not to grant a retroactive TUE.
This unique retroactive TUE will only be granted with the prior approval of WADA (and WADA may in its absolute
discretion agree with or reject the FIK’s decision).
Important note:
Using a prohibited substance or method without a TUE could result in an Anti-Doping Rule Violation.
In case an application for a retroactive TUE is necessary following sample collection, you are strongly advised to havea medical file prepared and ready to submit for evaluation.

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HOW TO APPLY TO FIK FOR A TUE?
FIK encourages to submit TUE applications via ADAMS, together with the required medical information. If you do nothave an ADAMS account yet, please contact FIK (okuura@kendo.or.jp) to have it set up.
Otherwise, please download the FIK’s TUE Application Form [English: http://www.kendo-fik.org/wpcontent/uploads/2021/12/2021-FIK-TUE-Application-Form-English1.pdf, and once duly completed and signed, send it
together with the required medical file to FIK (okuura@kendo.or.jp).
Your TUE application must be submitted in legible capital letters or typing.
The medical file must include:A comprehensive medical history, including documentation from the original diagnosing physician(s) (wherepossible);The results of all examinations, laboratory investigations and imaging studies relevant to the application.

Any TUE application that is not complete or legible will not be dealt with and will be returned for completion and resubmission.
To assist you and your doctor in providing the correct medical documentation, we suggest consulting the WADA’s
Checklists for TUE applications for guidance and support, and Medical Information to Support the Decisions of TUECs
for guidance on specific common medical conditions, treatments, substances, etc.
Keep a complete copy of the TUE application form and all medical information submitted in support of your application,and proof that it has been sent.

HOW TO SUBMIT A REQUEST FOR RECOGNITION OF MY NADO’S TUE TO FIK?
Your request for recognition should be submitted to FIK in writing quoting your ADAMS TUE reference number.
Keep a complete copy of the proof that your request for recognition has been sent to FIK.

WHAT HAPPENS AT MAJOR EVENTS?
A Major Event Organization (MEO) requires shiai-shas to apply for the recognition of their TUE if they wish to use aprohibited substance or method in connection with the Event.
If you have a TUE granted by FIK and you will be competing at a Major Event e.g., the World Combat Games, youshould contact the MEO for information on their recognition process.

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WHEN WILL I RECEIVE A DECISION ON MY TUE APPLICATION [OR REQUEST FORRECOGNITION]?
FIK’s TUEC’s must render a decision as soon as possible, and usually within 21 days from the date of receipt of thecomplete TUE application [or request for recognition].

WHAT IF I NEED TO RENEW MY TUE?
Each TUE has a specific duration, at the end of which it expires automatically. Should you need to continue to use theprohibited substance or method, it is your responsibility to submit a new application for a TUE with updated medical
information ahead of the expiry date, so that there is sufficient time for a decision to be made prior to the expiry of thecurrent TUE.
Important note:
The presence (following sample collection), use, possession or administration of the prohibited substance or method
must be consistent with the terms of your TUE. Therefore, if you require a materially different dosage, frequency, routeor duration of administration, you should contact FIK, as you may be required to apply for a new TUE. Some substancesand dosages, e.g. insulin, are often modified during treatment and these possible fluctuations should be mentioned by
the treating physician in the TUE application and would usually be accepted by the ADO TUEC.

WHAT IF MY FIK’S TUE APPLICATION IS DENIED?
A decision to deny a TUE application will include a written explanation of the reason(s) for the denial. If it is not clear toyou, please contact FIK to understand exactly why the TUE was denied. Sometimes, there may be a critical piece ofinformation, diagnostic test, laboratory results missing, etc. In which case, you should re-apply to us.
You and/or your NADO may refer the matter to WADA for review no later than 21 days after notification of the FIK TUEC
decision. You should send the same information that you submitted to us, and on which the decision to deny the TUE
was based on, via a secure on-line method or by registered mail at:
WADA Medical Department
World Anti-Doping Agency
Stock Exchange Tower
800 Place Victoria (Suite 1700)
P.O. Box 120
Montreal (Quebec) H4Z 1B7
CanadaThe email address to enquire and/or send the request for review is: medical@wada-ama.org
It should be noted that WADA is not obliged to proceed with a request for a review. In that case, you and/or your NADO
may appeal to the Court of Arbitration for Sport (CAS).

4WHAT IF MY NADO’S TUE IS NOT RECOGNIZED BY FIK?
You and/or your NADO have 21 days from the date of decision to refer the matter to WADA for review. The email
address to enquire and/or send the request for review is: medical@wada-ama.org. Alternatively, you may send to:
WADA Medical Department
World Anti-Doping Agency
Stock Exchange Tower
800 Place Victoria (Suite 1700)
P.O. Box 120
Montreal (Quebec) H4Z 1B7
CanadaThe same information that was provided to your NADO should be submitted to WADA. Please use a secure on-line
method unless sending by registered mail.
Pending WADA’s decision, your NADO TUE remains valid for national-level competition and out-of-competition testingonly.
If the matter is not referred to WADA for review, your NADO must determine whether the original TUE that was granted
should remain valid for national-level Competition and Out-of-Competition Testing.

WILL MY MEDICAL INFORMATION BE TREATED IN A CONFIDENTIAL MANNER?
All the information contained in a TUE application, including the supporting medical information and any other information
related to the evaluation of your TUE request is kept strictly confidential and treated in accordance with the Shiai-sha’s
Declaration contained in the ADAMS TUE process and in the FIK’s TUE Application Form. All members of the TUEC
and any other authorized recipients of your TUE request and related information (as described in the Shiai-sha’s
Declaration) are subject to a professional or contractual confidentiality obligation.
Please review the terms of the Shiai-sha’s Declaration carefully. In particular, note that should you wish to revoke theright of the FIK’s TUEC to obtain the information related to your TUE in accordance with the Shiai-sha’s Declaration,
your TUE application will be deemed withdrawn without approval [or recognition] being granted.
Your TUE request-related information will be retained by FIKand any other authorized recipients for no longer thannecessary for the purposes stated in the Shiai-sha’s Declaration, in accordance with the International Standard for theProtection of Privacy and Personal Information.

CONTACT INFORMATION
For any further information and questions in relation to FIK’s personal information practices, please contact FIK(takamori@kendo.or.jp).
If you have a doubt as regards to which organization you should apply for a TUE, or as to the recognition process, or
any other question about TUEs, please contact FIK (okuura@kendo.or.jp).

5OTHER USEFUL LINKS:
WADA International Standard for Therapeutic Use Exemptions (ISTUE)
WADA Q&A on Therapeutic Use Exemptions
WADA Checklists for TUE Applications
WADA Guidelines for the 2021 International Standard for Therapeutic Use Exemptions (ISTUE)
WADA Anti-Doping Education and Learning (ADEL)

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