REPORT AND COMPLAINTS FORM

  • REPORT AND COMPLAINTS FORM

    This form is part of the NRAA Complaints, Disputes and Discipline policy. Use this form to submit Complaints and Reports to the West Australia Rifle Association Inc. (WARA).

  • SECTION 1 - RELEVANT SPORT

  • SECTION 2 - SUBMITTER INFORMATION

  • Date of Birth*
     - -
  • Gender*
  • Role or Position in Sport*
  • Is your position in Sport a volunteer position, athlete or paid employment?*

  • SECTION 3 - WHO THE CONDUCT OCCURRED TO

  • Are you submitting a report on behalf of someone else?*
  • Is this person aware this matter is being Reported?*
  • Do you have written consent from the person to act on their behalf? If you are not the legal guardian of this person, please attach written consent from the person that you are acting on behalf of. You will be asked to upload your written consent at the end of Section 5 of this form.*
  • Their Date of Birth*
     - -
  • Their Gender*
  • Their Role or Position in Sport*
  • Is their position in Sport a volunteer position, athlete or paid employment?*

  • SECTION 4 - RESPONDENT DETAILS

  • Respondent's Role or Position in Sport*

  • SECTION 5 - INCIDENT DETAILS

  • Relevant Policy*
  • Were there any witnesses to the Alleged Prohibited Conduct?*

  • SUPPORTING DOCUMENTS AND OUTCOME

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  • What outcome are you seeking from lodging your Complaint or Report?*

  • SECTION 6 - REPORTING

  • Have you reported the alleged conduct to another organisation, body or agency? Note: For example, to a sporting body at any level including a National Sporting Organisation, State Sporting Organisation or Club, a law enforcement agency, or an anti-discrimination or equal opportunity agency?*

  • Declaration

    By signing this form, you accept and acknowledge that information contained within this submission will be treated with the highest level of confidentiality however, may be shared in consultation with the Complaints Manager of the National Rifle Association of Australia (NRAA).
  • Date
     - -
  • Should be Empty: