Notes:
1. Please submit this form within seven (7) working days of the issuance of the BDSFA's decision.
2. Payment of a $500 Fee is required with the submission of this form. Details for payment are available in SCHEDULE 4 of the BDSFA Grievance & Disciplinary Regulations.
3. Participants should read and consider section 7.5 of the BDSFA Grievance & Disciplinary Regulations prior to signing and lodging this form with the Disciplinary Committee.
4. If BDSFA does not receive properly completed forms by the time specified in paragraph 1, you are deemed to have committed the Offence and the Notice of Suspension/Notice of Charge will stand.
5. Capitalised words used in this document are defined in the Regulations.