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Club Response to an incident
Club Response to Incident Form
Incident Report Number
*
Please type Incident Report Form Number here, as seen on the report without the “:”.
Club Name
*
Club Rep’s Name
*
Club Rep's Name
First
First
Surname
Surname
Mobile Number
*
Email Address
*
The alleged transgressor’s Name
*
The alleged transgressor's Name
First
First
Surname
Surname
His/her Mobile Number
*
His/her Email Address
*
The alleged transgressor’s response to the charges.
*
– Select –
I accept the charge. (Min. penalties apply)
I challenge the report.
Challenge to the charges
He/she has challenged what part of the report?
*
– Select –
Some of the offences
All of the offences
Alleged transgressor’s challenge document. (Mandatry)
*
Drop a file here or click to upload
Choose File
Maximum file size: 2MB
Maximum of 2 files each being no larger than 2Mb.
Witness comments on the incident (appropriate).
Drop a file here or click to upload
Choose File
Maximum file size: 2MB
A maximum of 4 documents not more than 2Mb in size may be uploaded.
Please add anything further you feel will assist in the assessment of the allegations.
Submit
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