SAJBL Complaint & Incident Report
Complainant Name
*
First Name
Last Name
Complainant Email
*
example@example.com
I am making this complaint as a:
*
Please Select
Player
Official
Coach
Team Manager
Parent
Spectator
Other
Date & Time of Complaint
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
*
Age Group Involved
*
Names of Teams Involved
*
Summary of what happened
*
What action was taken?
*
Please rate the seriousness of your complaint or incident:
*
Please Select
1 - Minor Concern: A minor issue or observation that did not cause harm or distress. (e.g. small disagreement, minor facility issue, general feedback.)
2 - Low Seriousness: A low-level concern that caused mild inconvenience or dissatisfaction but no ongoing impact. (e.g. communication issue, scheduling error.)
3 - Moderate Seriousness: A moderate incident or complaint that affected someone’s experience or safety and requires review. (e.g. inappropriate behaviour, unfair treatment, repeated issue.)
4 - High Seriousness: A serious matter with potential or actual harm to an individual or group. (e.g. verbal abuse, unsafe conditions, breach of league policy.)
5 - Critical / Severe: A critical issue involving serious harm, safety risk, or misconduct. Requires immediate attention and formal investigation. (e.g. physical altercation, discrimination, harassment, child safety concern.)
Was a staff member notified?
*
Who was notified?
Player contact number
Please enter a valid phone number.
Format: 0000 000 000.
Nature of incident?
Submit
Should be Empty: