Code Breach Allegation Form

Complainants must hold a current club membership for the club detailed in this form. Complaints from non-members will not be considered. If you have any queries in relation to this form, please contact codeadministrator@clubsnsw.com.au.

Start date of incident

Club

First Name

Last Name

Address

Phone

Nature of alleged Code breach

Details of alleged breach

Attach copies of all relevant documents such as correspondence from the club here:

Upload requirements

What was the result of efforts to resolve the matter directly with the Club?

Attach copies of correspondence to the club and the club’s response here:

Upload requirements

What outcome are you seeking in this matter?

Before completing your response, please review the enforcement provisions outlined on page 14 of the Club Code of Practice

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