Club Form 03. Winter Football Challenge to a Suspension issued by the FSG Executive
Participants use this Club Form 3 to challenge suspensions issued by the FSG Executive.
Challenges to suspension issued by the FSG Executive are heard by the FSG Disciplinary Committee.
This form, and any supporting documentation is to be completed within two (2) days of the Club receiving the notice of suspension from the FSG Executive.
Except in the case of Obvious Error, there is no challenge to a minimum suspension issued by the FSG Executive.
All Suspension Challenges will incur a $100 Fee that must be paid at the time of submission.
Overview
Are you
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The participant, completing the challenge form for myself
The Club, completing the challenge from on behalf of our member
Suspended Participant Name:
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First Name
Last Name
Suspended Participant FA Number:
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Suspended Participant Email:
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as per PlayFootball
Club the Participant is registered to
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All Saints Oatley West FC
Arncliffe Aurora FC
Banksia Tigers FC
Bexley North FC
Carss Park FC
Carlton Rovers FC
Connells Point Rovers FC
Dolls Point FC
Forest Rangers FC
Hurstville City Minotaurs
Hurstville Glory FC
Hurstville ZFC
Kogarah Waratah FC
Lugarno FC
Oatley FC
Peakhurst United FC
Penshurst West FC
Ramsgate RSL FC
Rockdale City Raiders FC
Rockdale City Suns FC
Sans Souci FC
Scots FC
Team and Division the Participant is registered to:
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Suspension imposed by the FSG Executive:
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Was the suspension imposed the minimum for the offence?
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Yes
No
Please select the Reason for Challenge
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Obvious Error - A Red Card was issued to a player when no card was warranted
Obvious Error - A Red Card was issued to a Team Official when no card was warranted
Obvious Error - It being a decision that no reasonable referee in the possession of all of the facts could reasonably have made
The circumstances of the incident leading to the suspension were exceptional, such that the suspension imposed is clearly and demonstrably excessive (only where the suspension is greater than the minimum).
Please select the Reason for Challenge
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Obvious Error - A Red Card was issued to a player when no card was warranted
Obvious Error - A Red Card was issued to a Team Official when no card was warranted
Obvious Error - It being a decision that no reasonable referee in the possession of all of the facts could reasonably have made
Participant Statement and Supporting Evidence
A statement by the participant setting out the grounds upon which they believe the suspension or Sanction should not be applied
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Browse Files
Cancel
of
I have supporting evidence to submit (video or photo)
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Yes
No
Supporting evidence (video or photo)
Browse Files
Cancel
of
I have supporting evidence to submit (witness statement)
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Yes
No
Supporting evidence (witness statement)
Browse Files
Cancel
of
Payment of Challenge Fee
Payment
*
prev
next
( X )
Suspension Challenge Fee
$
100.00
AUD
Total
$
0.00
AUD
Credit Card
Submission
I acknowledge that;
To the best of my knowledge, the information submitted in this challenge form is a true and accurate representation of the facts; and
I acknowedge that submitting inaccurate, false, misleading, or vexatuious reports to FSG is a breach of the Zero Tolerance Policy and is subject to disciplinary action.
Completed by
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First Name
Last Name
Position at the Club
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Please Select
President
Vice President
Secretary
Email
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example@example.com
Signature
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Submit
Should be Empty: