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Complaint/Discipline Report Form

Please confirm your full name*
Club/Official making compliant*
Complaint against (if applicable) - Club or official*
Date of compliant or breach of constitution*
Brief reason for compliant/breach of constitution*
If the complaint relates to a breach of constitution, please highlight which constitution has been breach
Confirmation*
- The information I have provided is true to the best of my knowledge
The independent panel will use the above information to determine the outcome along with any other evidence or statements provided at the hearing. Member club making the complaint is required to transfer a fee of £25.00 to the league account for a complaint or £50.00 if making an appeal. League Bank details are as follows: Virgin Bank: Sort code - 05 09 04 Account Number - 18222005
Phone
This field is for validation purposes and should be left unchanged.