Attachment E1 Confidential record of informal complaint – Name of person Date: / / receiving complaint Complainant's Name  Over 18 Under 18  Role/status Administrator (volunteer) Parent  Athlete/player Spectator  Coach/Assistant Coach Support Personnel  Employee (paid) Other Official ................................................. Location/event of alleged issue Facts as stated by complainant  Nature of complaint Harassment or Discrimination (category/basis/grounds)   Sexual/sexist Selection dispute Coaching methods   Sexuality Personality clash Verbal abuse Can tick more than one box   Race Bullying Physical abuse   Religion Disability Victimisation   Pregnancy Child Abuse Unfair decision Other ................................................... What they want to happen to fix issue What information provided What they are going to do now This record and any notes must be kept in a confidential place do not enter it on a computer – system. If the issue becomes a formal complaint, this record is to be sent to the CEO.
Attachment E1 – Confidential record of informal complaint Name of person receiving complaint Date: / / Complainant's Name Over 18  Under 18 Role/status Administrator (volunteer)  Parent Athlete/player  Spectator Coach/Assistant Coach  Support Personnel Employee (paid)  Other Official ................................................. Location/event of alleged issue Facts as stated by complainant Nature of complaint (category/basis/grounds) Harassment or  Discrimination Sexual/sexist  Selection dispute  Coaching methods Can tick more than one box Sexuality  Personality clash  Verbal abuse Race  Bullying  Physical abuse Religion  Disability  Victimisation Pregnancy  Child Abuse  Unfair decision Other ................................................... What they want to happen to fix issue What information provided What they are going to do now This record and any notes must be kept in a confidential place – do not enter it on a computer system. If the issue becomes a formal complaint, this record is to be sent to the CEO.
SV-Member-Protection-Policy-adopted-2010-forms-for-website.docx