Application to Appeal Form

"*" indicates required fields

Club Name*

Name of Person Submitting Form*

First Last

Role at Club of Person Submitting Form*

Contact Email Address of Person Submitting Form*

Name of Person which Application is Being Submitted Behalf of*

First Last

Ground of Appeal*

A party was not afforded a reasonable opportunity to present its case to the JC or the SPC

The decision of the JC or the SPC was affected by actual bias

Severity of an imposed sanction by the JC or the SPC

New evidence can be presented that was not presented to the JC or the SPC

Supplying new evidence

Please email new evidence to admin@macarthurfootball.com.au

Digital Signature*

Please type your name of the person submitting form as a digital signature

First Last

This application must be submitted within five Business Days of such Determination being issued by the Original Committee.
Please ensure any evidence is submitted with your application.
The Club accepts that the Application to Appeal Fee of $100 is payable if the Appeal is dismissed by the Appeals Committee.

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