To make a formal complaint about alleged Prohibited Conduct you experienced, or report alleged Prohibited Conduct you have witnessed, complete the form below and submit it by 31 January 2022.

You can use one form to report multiple instances of alleged Prohibited Conduct by the same individual (or group of individuals if more than one person was involved in the alleged Prohibited Conduct).

If you wish to report separate instances of alleged Prohibited Conduct by different individuals, please submit a form for each instance.

Sport Integrity Australia will consider all complaints and reports related to Prohibited Conduct which occurred in Football Australia’s National Programs (including the men’s and women’s national teams, and the A-league clubs, including the A-League, W-League and Y-League). 

For more information on the process, including Frequently Asked Questions see Independent Complaints Handling Process (Football Australia).

If you need assistance in understanding how to complete this form, or have questions about the process, please call 1300 027 232 and select option 3. 

If you need mental health or wellbeing support, please contact LIFELINE 13 11 14 | lifeline.org.au.

 

Decision Tree

If you have information about alleged Prohibited Conduct, you can make either a formal complaint or submit a report.

Formal complaints can only be submitted by the person who experienced the alleged Prohibited Conduct. All formal complaints must include your personal details. 

You cannot submit a formal complaint anonymously. This is because the respondent is entitled to procedural fairness and natural justice, which means they are entitled to know what the complaint is and who made it, so they can respond. If you do not wish to make a formal complaint by including your name and contact details, but want to tell us something, please submit a report. By not providing your personal details, Sport Integrity Australia may not be able to pursue the matter.

Reports can be submitted by anyone who has information or who witnessed an instance of alleged Prohibited Conduct. If you report an issue that involves someone else, we may contact them during the process.

Further information can be found in the FAQs.
 

About you

State

Please specify the years you were involved in the sport

Leave "End year" blank if you were only involved for a single year

Your role/position in the sport
You can choose more than one.

Details of the person whom the alleged Prohibited Conduct happened to

If unknown, please provide any names they are known by, or enter ‘Unknown’.

We may seek to contact this individual for more information about the alleged breach.
Person’s role/position in the sport
You can choose more than one.
If you are reporting alleged Prohibited Conduct happened to more than one person, please add the details of further individuals and refer to them by name in the description of the alleged Prohibited Conduct below.
Re-order Full name Date of Birth Preferred contact number Person’s relationship to you Person’s main role/position in the sport Weight Operations
If unknown, please provide any names they are known by or enter ‘Unknown’
Person’s main role/position in the sport
more items

Which person or organisation is the complaint about?

If unknown, please provide any names they are known by or enter ‘Unknown’ 
Respondent’s role or position
You can choose more than one.
Alleged Prohibited Conduct by the Respondent
You can choose more than one.
Prohibited Conduct can be carried out by more than one person.
Re-order Full name of person or organisation (Respondent) Respondent’s main role or position Phone number of Respondent (if known) Respondent’s relationship to you Main alleged Prohibited Conduct by the Respondent Weight Operations
If unknown, please provide any names they are known by or enter ‘Unknown’
Respondent’s main role or position
Main alleged Prohibited Conduct by the Respondent
Provide additional alleged Prohibited Conduct in the Description
more items
Please provide relevant date/s, or date range/s (at a minimum provide the year/s).
(e.g. XYZ Sports Club, 1 Smith Street, Perth, WA)

Provide as much information as possible, including details about who was involved, describe what happened and/or how you found out about the alleged Prohibited Conduct.

If you included the details of more than one Respondent above, ensure you include names when detailing each Respondent’s involvement in your description.

Attach any documents or images you would like to include to support your complaint.
Maximum 5 files.
5 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.
Did anyone else witness the alleged Prohibited Conduct?
We may seek witness details during the process.
Re-order Name Phone number Weight Operations
more items
For example, to a sporting body at any level including a national sporting organisation, a law enforcement agency, a state anti-discrimination or equal opportunity agency, a workers compensation agency, the Fair Work Commission and/or an Ombudsman?

Declaration

I hereby declare that the information I have provided in this form is true and correct to the best of my knowledge. I understand that if I have knowingly provided false information, I may be subject to Disciplinary Action.

I accept that the information provided may be used and disclosed for the purposes outlined in the Privacy and Confidentiality Notice

By submitting this form, you are effectively signing this document and giving consent to an assessment of the complaint.

Declaration

I hereby declare that the information I have provided in this form is true and correct to the best of my knowledge. 

I accept that the information provided may be used and disclosed for the purposes outlined in the Privacy and Confidentiality Notice
 

By submitting this form, you are effectively signing this document and giving consent to an assessment of the report.