AFL Masters Victorian Metropolitan Football League

AFL Masters Vic Metro

Member Complaints & Appeals
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PART A: TYPE OF COMPLAINT

Breach of:
Breach by:

PART B: OFFENDING PARTY (person or club who is alleged to have committed the breach)

(eg jersey number, description of person, clothing worn etc)

PART C: BREACH DETAILS (details of the incident or event)

If more than one incident, detail date and time of each.
Where did the incident occur?
Provide as much detail of
-any relevant background information including anything leading up to the incident,
-exactly what happened, was observed or was said or was posted
-duration of the incident
-anyone else involved in the incident
-if during a match, what teams were playing & in what grade
If multiple incidents, provide as much detail of each as possible
E.g. was it reported to the Ground Manager or an Official of the offending persons club and what actions did they take or say they would take?

PART D: SUPPORTING EVIDENCE (attach all evidence that supports the complaint)

Witness statements attached?
Brief summary who each statement is from, their role in the event, date of statement, contact details.
Other witnesses?
Detail the name and contact details of any witness, other than those who have already made a statement.
Film or images of incident attached
If film attached, detail the time in the film the incident occurred (e.g. at the 16.27 minute mark).
Other
Details of what this is, e.g. screen prints of social media posts
Click or drag files to this area to upload. You can upload up to 20 files.

PART E: DECLARATION (of person lodging the Notice of Complaint)

Clear Signature

 If under the age of 18

Clear Signature
Signature
Date