Hockey Australia Women's High Performance Program

Hockey Australia is partnering with Sport Integrity Australia, to establish an independent Special Complaints Handling Procedure for the assessment of specific complaints raised in the Hockey Australia Women's High Performance Program.

Eligibility for review

To be eligible for review under the Sport Integrity Australia Special Complaints Handling Procedure, a complaint must be one that:

  • is submitted by 5 March 2021
  • may amount to a breach of Hockey Australia’s Member Protection Policy
  • relates to Hockey Australia’s Women’s High Performance Program
  • relates to conduct or issues which occurred between 1 December 2016 and 31 January 2021.

Eligibility to make a complaint

To make a complaint, a person must be, or have been, involved in Hockey Australia’s Women’s High Performance Program in any capacity (for example, as an athlete, staff member or support person) between 1 December 2016 and 31 January 2021.

How to make a complaint?

Complete the form below and submit it on or before 5 March 2021.

The information provided by you will be assessed by Sport Integrity Australia under Hockey Australia’s Special Complaints Handling Procedure.

Sport Integrity Australia will respond to all eligible complaints that are received.
 

Note: Fields highlighted in Red, as well as the Reporter's and Respondant's role/position and the Alleged Breach are mandatory fields and must be filled in prior to submittion.

 

Details of person making the report

(the Reporter)

Street address

What year(s) were you involved with the sport?

Reporter’s role/position within the sport
* Required
You can choose more than one

Person or organisation complained about

(the Respondent)

If there is more than one respondent, add additional Respondents by submitting another complaint form.
Respondent’s role or position
You can choose more than one
(e.g. XYZ Sports Club, 1 Smith Street, Perth, WA)
Alleged Breach of the Member Protection Policy by the Respondent
* Required

You can choose more than one
(add multiple dates if applicable)
Date/s of Alleged Breach by Respondent
more items
Provide as much information as possible, including details of dates and locations, who is involved, describe what happened and when, and how you found out about the conduct/breach.
Attach any documents or images you would like to include to support your complaint
Maximum 5 files.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Witnesses (if any)

Did anyone else witness the Alleged Breach by the Respondent?

List the witnesses and their contact details (if known)

Re-order Name Phone Weight Operations
more items
What outcome are you seeking to achieve once your complaint has been assessed?

Declaration

I hereby declare that the information I have provided in this Complaints 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.