2025/ 2026 Complaint Submission Form

Complaint Submission Form

Formal Resolution
This form is for submitting a complaint for FORMAL RESOLUTION to Albany Basketball Assocation (ABA). Only matters that relate to, Raiders, ABA, Clubs on non Affiliated teams will be dealt with.
Name of the Person completing the form *

First NameLast Name
Title:*

CoachOfficialTeam ManagerParentPlayerBystanderClub Official
Date of complaint

DayMonthYear
Date
Time of complaint

:HourMinutesAM/PM Option
Organisation e,g., Club or Team Name. *
Complainant's Phone Number*
Email*
example@example.com
Are you submitting this complaint on behalf of someone else? If you are submitting a complaint on behalf of someone else, please provide their contact details below;

First NameLast Name
Phone Number
Email
example@example.com
Witness Information (if applicable)

First NameLast Name
Phone Number
Email
example@example.com
Please select what category your complaint is regarding:*

Club or TeamAlbany Basketball AssociationCoachRefereeParentSpectator
Other (please specify):
Please detail what your complaint is:*

0/100
Please place feedback here: (this section is for feedback only)
What outcome are you seeking?*

ExplanationDisciplinary ActionApologyImprovementI am providing feedbackFlagged for ABA information only
Other (please specify):
In submitting this complaint, I confirm that:*

This Information I have provided on this form is correct to the best of my knowledge;I intend to cooperate in good faith, act in accordance with the ABA and BWA Code of Conduct, respect confidentiality of the process and immediately disclose any actual, percived or protential conflict of interest to the Responsible Officer for the complaint as part if my involvement in the complaint process; andI understand that the information I provide will be treated confidentially and will not be disclosed to a third party unless required.
Name*

First NameLast Name
Should be Empty: