Racism Report

REPORT RACISM HERE
Your Name

First NameLast Name
E-mail*
Contact Number*
Football Federation Victoria (FFV) takes all reports of racism seriously however, matters reported without contact information provided may not be able to be followed up.
Incident Information
Date of Incident*
League*
Home Team*
Away Team*
YesNo
PlayerSpectator/SupporterParent/GuardianClub AssociateEmployee (Club President/Secretary/Coach)Other
Who was the racial abuse directed at?

Fill out this section if you witnessed racial abuse directed at someone else
Full Name

First NameLast Name
Club
How many offenders were there?
PlayerSpectator/SupporterParent/GuardianClub AssociateEmployee (Club President/Secretary/Coach)Other
Racism Offender(s)
Offender(s) Information
Incident
What happened? Please describe the incident.*
YesNoNot Sure
YesNoNot Sure
YesNoNot Sure
Post Game/Additional infomation
If you have any photo(s), video footage or witness statement in regards to the incident, please attach all files and send them via email to discipline@ffv.org.au.
By submitting this form, I declare that the above information is true to the best of my knowledge and I understand that I may be subject to disciplinary action from FFV in the event that the above information is vexatious or intentionally misleading.
Should you have any questions, or need any help completing the form, please call 03 9474 1800 and ask for the Discipline department. Or email: discipline@ffv.org.au
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REPORT RACISM HERE