Baseball Australia Complaints Form
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your State
*
Please Select
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Are you over 18
*
Yes
No
What is your role at Baseball Australia
*
Administration
Athlete
Parent
Spectator
Referee
Board/Committee Members
Coach/Assistant Coach
Employee
Volunteer
The complaint
Nature of your complaint
*
Please Select
Personal Grievance
Social Media Breach
Code of Conduct Breach
Other
Please note complaints in relation to Integrity-related policies must be submitted directly to Sport Integrity Australia. Find out more here - https://www.waterpoloaustralia.com.au/info-hub/integrity/
Which Policy has been breached? (You must select at least one)
*
Member Protection Policy
Improper Use of Drugs and Medicine Policy
Child Safeguarding Policy
Competition Manipulation and Sport Wagering Policy
BA Code of Conduct
BA Selection Policy
BA National Age Group Selection Policy
BA Social Media Policy
BA Personal Grievance Policy
What section of the Policy has been breached?
*
Date of incident
*
-
Month
-
Day
Year
Date
Details and/or description 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?
*
Please Select
International
National
State
Club
Not Sure
Are there any witnesses to this incident?
*
Yes
No
Do you have any files to share at this time?
Browse Files
Drag and drop files here
Choose a file
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If appropriate, would you consent to mediation with the Respondent?
*
Yes
No
Declaration
I agree that the information provided in this form is true and correct
*
YES
I accept that the information provided may be used and disclosed for the purposes outlined in the BA Privacy Policy. If your report includes information about potential imminent harm, an ongoing risk of harm or information about criminality, we may provide your details or information from your report to relevant law enforcement or other relevant parties
*
YES
In the event my complaint is identified as not within the BA policy framework, I agree to pay a $250 processing fee within 7 days of lodging this form. The fee may be refundable if the Complainant is successful as determined in the sole discretion of BA. I understand and acknowledge that the complaint will not be actioned until the fee is paid and if the fee is not paid within 7 days the complaint will be closed and no further communications will be entertained on the matter until a new complaint is lodged and the fee paid. Payment must be made to BSB: (insert) with Reference FullName/Date and a screenshot provided to BA upon request
*
YES
Please verify that you are human
*
Submit
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