Home / Prescribed Form 08

Prescribed Form 08

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Member Details

Full Name*

First Last

FFA Number

Club Name

Your Email*

Decision of Football NSW

Date of Decision*

Upload a copy of the Notice of Suspension

Max. file size: 18 MB.

A Player who has received a Notice of Suspension in respect of a Red Card Offence (other than in respect of R4, R5 or R7, or in circumstances where the Suspension is equal to the Mandatory Match Suspension) may choose to challenge the Suspension in accordance with this section 8.2 of Regulations.

A Red Card cannot be expunged (except in the case of mistaken identity).

A Mandatory Match Suspension cannot be expunged (except in the case of mistaken identity).

Please submit a signed written statement by the Participant (or his or her Club) setting out the grounds upon which he or she relies

Max. file size: 18 MB.

Please submit video or photo evidence and/or signed written statements from relevant witnesses

Max. file size: 18 MB.

Notes

1. Please submit this form by 4pm on the second (2nd) Wording day after the issuance of a Notice of Suspension by Football NSW.

2. Please lodge a fee of $500 together with this Notice. Payment can be made by cheque or direct debit into Football NSW’s bank account. Bank: National Australia Bank Ltd, Account Name: Football NSW Limited, BSB: 082-356, Account Number: 14-055-1058. Please file receipt of payment into this account with the Tribunal Administrator at dc@footballnsw.com.au

Participants should read and consider sections 8.2 of the Regulations prior to signing and lodging this Notice to Football NSW.

If Football NSW does not receive a properly completed Notice by the time specified in paragraph 1 together with the $500 fee, you are deemed to have waived your right to challenge the Notice of Suspension.

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

Did you pay the relevant Application Fee to challenge the Notice of Suspension to the FNSW Disciplinary Committee?*

Yes

File*

Drop files here or

Max. file size: 18 MB.

Submission

Your Name*

First Last

Digital Signature*

I certify that the information entered above is true and correct and was entered by myself

Other