Notice of Investigation (NOI) - no video footage
Notice of Investigation (NOI) Refer to By-law A2.29.7. Form must be submitted by 9am Monday together with a $500 bond. Notice of Investigations can be lodged for a player, official, or club who is alleged to have committed or engaged in conduct that constitutes a reportable offense where a player has been seriously injured. Only League Officials and Club Presidents can lodge a NOI. Please ensure your $500 bond is paid to the PFL at the time of NOI lodgement. BSB: 016-460 A/C: 253 692 009. You will receive a confirmation email if this form is submitted correctly.
Notice of Investigation
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Game Day Incident without Footage
Match Date
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Month
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Day
Year
Date
Grade
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Please Select
A Men
A Reserves
Phil Scott Colts
B Men
B reserves
Drew Banfield Colts
C1 Men
C1 Reserves
Ian Dargie Colts
C2 Men
C2 Reserves
Laurie Keene Colts
C3 Men
C3 Reserves
West Coast Colts
C4 Men
C4 Reserves
Brett Jones Colts
C5 Men
C5 Reserves
D League
D Reserves
D Colts
E1
E2
E3 North
E3 South
A Women
A Reserves Women
B Women
C1 Women
C2 Women
C3 Women
C4 Women
Integrated A
Integrated B
NOI Lodged for
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Serious Injury
Vilification
Other
If, Other, please provide details
Quarter Incident Occurred
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Q1
Q2
Q3
Q4
Q1 time Break
Half time Break
Q3 time break
Post Match
Name of Accused Player
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First Name
Last Name
Jumper number of accused player
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Accused Players Club
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Please Select
Armadale
Baldivis
Ballajura
Bassendean
Bayswater
Belmont
Brentwood Booragoon
Bullcreek Leeming
Canning South Perth
Canning Vale
Carlisle
Cockburn Cobras
Cockburn Lakes
Collegians
Coolbellup
Coolbinia
Cottesloe
Curtin Uni Wesley
Dianella Morley
Ellenbrook
Forrestdale
Forrestfield
Fremantle CBC
Gosnells
Hamersley Carine
Hammond Park
High Wycombe
Hills Rangers
Jandakot
Joondlup Jets
Kalamunda
Kelmscott
Kenwick
Kingsley
Kingsway
Koongamia
Kwinana
Lynwood Ferndale
Maddington
Mandurah Mustangs
Manning
Melville
Mosman Park
Mount Lawley
Nollamara
Noranda
North Beach
North Fremantle
North Mandurah
Ocean Ridge
Osborne Park
Piara Waters
Quinns District
Roleystone
Rossmoyne
Safety Bay
Scarborough
Secret Harbour
SNESA
Stirling
Swan Athletic
Swan Districts
Swan Valley
Swan View
Thornlie
Trinity Aquinas
University
Wanneroo
Warnbro
Warwick Greenwood
Wembley
West Coast
Whitford
Willetton
Winnacott
Yanchep
Alleged Offence
Please Select
(i) striking another person;
(ii) kicking another person;
(iii) kneeing another person;
(iv) charging an opponent;
(v) engaging in Rough Conduct against an opponent;
(vi) bumping or making forceful contact to an opponent from front-on when that Player has their head down over the football;
(vii) head-butting or making contact to another person using the head;
(viii) making unreasonable or unnecessary contact to the eye region of another person;
(ix) making unreasonable or unnecessary contact to the face of another person;
(x) scratching another person; or
(xi) tripping another person whether by hand, arm, foot or leg;
(b) eye-gouging another person;
(c) stomping on another person;
(d) intentionally making contact with, or striking, an Umpire;
(e) attempting to strike an Umpire;
(f) spitting on or at an Umpire;
(g) behaving in an abusive, insulting, threatening or obscene manner towards or in relation to an Umpire;
(h) using abusive, insulting or obscene language towards or in relation to an Umpire;
(i) unreasonable or unnecessary contact with an Umpire;
(j) carelessly making contact with an Umpire;
(k) disputing a decision of an Umpire;
(l) spitting on or at another person;
(m) attempting to strike another person;
(n) attempting to kick another person;
(o) attempting to trip another person whether by hand, arm, foot or leg;
(p) making unreasonable or unnecessary contact with an injured Player;
(q) engaging in a Melee or wrestling another person;
(r) instigating a Melee;
(s) pinching another person;
(t) engaging in an act of staging;
(u) using abusive, insulting, threatening or obscene language;
(v) use of an obscene gesture;
(w) engaging in Time Wasting;
(x) interfering with a Player Kicking for Goal;
(y) intentionally shaking, climbing or otherwise interfering with a goal or behind post;
(z) failing to leave the Playing Surface when directed to do so by an Umpire;
(aa) wearing boots, jewellery and equipment prohibited under Law 9; or (bb) engaging in any other act of misconduct or serious misconduct
Please provide details of Incident
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VICTIM STATEMENT AND MEDICAL REPORTS MUST BE PROVIDED
Name of Victim
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First Name
Last Name
Jumper number of Victim
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Victims Club
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Please Select
Armadale
Baldivis
Ballajura
Bassendean
Bayswater
Belmont
Brentwood Booragoon
Bullcreek Leeming
Canning South Perth
Canning Vale
Carlisle
Cockburn Cobras
Cockburn Lakes
Collegians
Coolbellup
Coolbinia
Cottesloe
Curtin Uni Wesley
Dianella Morley
Ellenbrook
Forrestdale
Forrestfield
Fremantle CBC
Gosnells
Hamersley Carine
Hammond Park
High Wycombe
Hills Rangers
Jandakot
Joondalup Jets
Kalamunda
Kelmscott
Kenwick
Kingsley
Kingsway
Koongamia
Kwinana
Lynwood Ferndale
Maddington
Mandurah Mustangs
Manning
Melville
Mosman Park
Mount Lawley
Nollamara
Noranda
North Beach
North Fremantle
North Mandurah
Ocean Ridge
Osborne Park
Piara Waters
Quinns District
Roleystone
Rossmoyne
Safety Bay
Scarborough
Secret Harbour
SNESA
Stirling
Swan Athletic
Swan Districts
Swan Valley
Swan View
Thornlie
Trinity Aquinas
University
Wanneroo
Warnbro
Warwick Greenwood
Wembley
West Coast
Whitford
Willetton
Winnacott
Yanchep
Upload a file - Victim Statement, Trainers Report and Medical Reports
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Club has read By-Law A2.29?
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Yes
No
Notice of Investigation has been lodged by 9am Monday deadline?
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Yes
No
If, No, please outline the reasons why the NOI was not lodged by the above deadline
Bond of $500 has been forwarded to the Perth Football League
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Yes
No - NOI will not be reviewed if bond is not received
Upload receipt for $500 bond
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Name of Official lodging NOI
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First Name
Last Name
Email address
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Submit
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