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  • GRIEVANCE FORM (SECTION 8.3)
    Prescribed Form 14

  • APPLICANT DETAILS

  • TYPE OF APPLICATION

  • Is your application in reference to a “claim” or “complaint”? *

  • RESPONDENT DETAILS

  • AFFECTED PARTY

    Your application for relief may have consequences for another party. The CDSFA is concerned to ensure such as the Affected Party (including the CDSFA) is aware of your application and is provided with an opportunity to be heard. 

  • Is there another party potentially directly affected by your appeal? *

  • REPRESENTATION

  • Do you wish to be represented by a support person of the Club? *
  • Do you wish to be represented by a lawyer?*

  • JURISDICTION

  • Does the Appeals Tribunal have jurisdiction to hear this matter?*

  • DATE GRIEVANCE ROSE

  • Grievance date *
     - -

  • DETAILS OF THE GRIEVANCE

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  • RELIEF SOUGHT

  • Notes:

    1.      Please submit this form within 14 working days after the dispatch of the notice referred to in section 8.3(c).

    2.      Please lodge a fee of $550 together with this Form. Payment can be made by cheque or direct debit into the CDSFA's bank account. Bank: Westpac Bank, Account Name: CDSFA Inc, BSB: 032082, Account Number: 113442. Please file receipt of payment into this account with the Tribunal Administrator at trent@footballcanterbury.com.au .

    3.     Members should read and consider sections 8, 11 and 12 of the Regulations prior to signing and lodging this Form to the CDSFA.

    4.     Pursuant to section 8.3 of the Regulations, your Claim or Complaint will be dealt with by mediation (section 11 of the Regulations) in the first instance unless the CDSFA believes that the claim or complaint should be referred to a DT.

    5.     If the CDSFA does not receive a properly completed Form by the time specified in paragraph 1 together with the $550 fee, you waive your right to have the matter heard at the CDSFA.

    6.     Capitalised words used in this document are defined in the Regulations.

  • SUBMISSION

  • Submission Date*
     - -
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