Report a Concern

Report a Concern

The information provided in this complaint form will be handled in accordance with the Volleyball Australia Privacy Policy.
Please note complaints in relation to Child Safeguarding or Discrimination should be submitted directly to Sport Integrity Australia.

https://www.sportintegrity.gov.au/contact-us/make-an-integrity-complaint-or-report

If you are concerned that a criminal offence has occurred, you should report your concern directly to the police.
About you

Reporters can remain anonymous however that will limit any action Volleyball Australia may take in relation to the report.
Your Name*

First NameLast Name
Your Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Your state*
Are you over 18?*

YesNo
What is your role in Volleyball?*

AdministratorAthleteParent/GuardianSpectatorRefereeBoard/Committee MemberCoach/Assistant CoachEmployeeVolunteerOther
The complaint
Nature of your complaint*
Please note complaints in relation to Child Safeguarding or Discrimination must be submitted directly to Sport Integrity Australia.
Date of incident

DayMonthYear
If known, please include the date of the incident
Date and Time of incident

DayMonthYear
If known, please include the date of the incident
Hour MinutesAM/PM Option
Location of the Incident
If known, provide the location of the incident, including the venue, address, state, or whether it occurred online.
Details of the person you are complaining about*
Include Full Name, Position and any other relevant information that will assist in identifying the person.
What happened?*
Please provide as much information as possible including details of who was involved, describe what happened and when (time/date), where and how you found out about the breach.
What level of the sport did this incident occur?*
Are there any witnesses to this incident?*

YesNo
Witness Name

First NameLast Name
Witness email address
example@example.com
Witness phone number
Please enter a valid phone number.
Add another witness

YesNo
Witness Name

First NameLast Name
Witness email address
example@example.com
Witness phone number
Please enter a valid phone number.
Do you have any files to share at this time?

This could be screen shots, email exchanges or anything relevant to the management of the complaint.
Cancelof
If appropriate, would you consent to mediation with the Respondent?*

YesNo
What outcome are you seeking?

ApologyMediationImprove processesSuspensionFor recording in VA systemsI don't knowOther
Declaration
Please verify that you are human*
Should be Empty:

Report a Concern

About you

The complaint

Declaration