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  • MATCH INCIDENT REPORT FORM

    For Clubs

  • Bendigo Amateur Soccer League (BASL) takes all reports seriously however, matters reported without contact information provided or with not enough sufficient evidence, may not be able to be followed up.

  • Incident Information

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  • Who was the racial abuse directed at?

    Fill out this section if you witnessed racial abuse directed at yourself or someone else.
  • Racism Offender(s)

    Description of who the offender is.
  • Incident

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  • If you have any photo's, video footage or further witness statement's in regards to the incident, please attach all files in the above section. Otherwise, please email to discipline@basl.com.au and cc competitions@basl.com.au.

  • Should you have any questions, or need any help completing the form, please let us know at discipline@basl.com.au and cc competitions@basl.com.au.

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