Complaint against a Participant/Club

Please complete the form below if you wish to make a complaint against a participant or a club.

Please give us your full name, you will get the opportunity later to tell us if you wish this to be disclosed to the complainant later.

Please complete your address details including postcode.

We may need to contact you in relation to this complaint so please let us know your best contact phone number.

Please also let us have your email for contact purposes.

Are you over 18?*

At the time of submitting this complaint are you over 18 years of age?

If you are not over 18, please confirm if your parents/guardians are aware of you making this complaint and their details.

Please let us know of any football roles you hold in football.

If you are not in a football role please state if you are a spectator, parent, member of the public.

Please list all the current clubs and teams you have been and are associated with.

Please state the capacity you were at the Match in question as. i.e. spectator, player, linesman, parent.

Type of Fixture*

If known please indicate what type of fixture this was.

Please state if known what League or Competition this took place in.

Where did the incident take place, if possible please give the address and postcode.

If known what was the final score with the home team score first.

If known please let us know the full name of the Match Official.

If you do not know the name of the Match Official please can you give us a description of them.

Please state the name of the alleged offender you wish to make a complaint against if it is a club complaint please also state.

If you do not know the participants name, please give as much detail as you can in terms of a description of them and state what role they had at the fixture.

Was this an appointed Match Official?*

If known please indicate if the Match Official was appointed by the Competition or League.

Please give us the full details of the complaint you wish to make, please be as descriptive and factual as you can. If there was any foul language used please write this in full and don't star out any letters or words. Please also indicate at what time this incident took place, before during or after the match and if during approximately at what time during the match. If you don't have enough space or wish to add further supporting statements or photo evidence you will have the opportunity to do this and upload files at the end of the form.

In respect of the complaint did the Match Official take action on this?

If the Match Official didn't take action please state if you know why they didn't and also if you made them aware of this and at what point in the game.

Police Involvement

Please indicate if the Police are involved with this complaint using the options below.

If the police are involved please state which constabulary is currently dealing with this, along with any Crime or Log numbers, the current status of the police complaint and Police Officer details you have been given.

Severity of Complaint*

Using the menu please indicate the severity of this complaint. We would class a severe complaint (RED) as a serious alleged assault, alleged assault on a minor, a serious welfare concern.

Support required*

We currently have a partnership with Lancashire Victim Services who could offer you some emotional support for free. If you would like us to put them in touch with you please indicate. This would not mean that you have to report the matter to the police.

Desired outcome of complaint*

Please indicate your desired outcome of this complaint.

Name disclosure

Are you happy for us to disclose your name to the alleged offender in respect of this complaint?

Attend a Personal Hearing?*

If a charge is issued by the discipline department, the participant would get the option to plead not guilty and attend a personal hearing, at the hearing they are entitled to question the evidence upon which the charge is based. Would you be happy to attend this hearing and answer any questions they or the panel may have in a controlled environment?

Club aware of this complaint?

If you are not the Club Secretary, please can you indicate if you have made them aware of this complaint and that you are submitting this to ourselves for consideration.

Please list the full names and email addresses of any other witnesses that are happy for us to contact them in relation to this complaint.

Please upload any supporting evidence such as photos/videos, additional witness statements.

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