Ipswich Basketball - Formal Complaint

Ipswich Basketball - Formal Complaint

Complaints MUST be lodged within 48 hours of the incident occurring.
Name*

First NameLast Name
Mobile number*
Please enter a valid phone number.
Email*
example@example.com
Date of incident*

MonthDayYear
Date
Time of incident*

Hour Minutes

AM/PM Option
I am a:*
What is your teams name?
What club are you associated with?*
Complaint Type:*

OfficiatingAbuse/BehaviourAdministrationCoach/BenchScorebenchSpectatorBullyingOther
Team A Name:
Team B Name:
Court Number:*
Age Group and Division (e.g. U16 Boys – Division 1)
Referee name(s), if known:
Please provide a detailed description of your complaint, including all relevant information and circumstances.*
At the time of the incident, did you speak to anyone? If yes, please provide their name(s) and any relevant details.*
Have the actions you are lodging this complaint about occurred previously? If yes, please provide details.
Please describe how the situation made you feel, and note any physical, emotional or practical impacts.
Do you believe the actions of the person(s) involved were unlawful, unfair, unjustified, or in breach of the Basketball Australia Member Protection Policy? If yes, please explain why and provide any supporting details.*
How do you believe this situation could be resolved? Please outline any actions or outcomes you feel would be appropriate.*
Would you like a formal response from IBA?*

YesNo
Signature

Clear
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