Incident Report - Baseball Victoria

Report a Concern

Complete this form if you have information regarding a potential breach of the National Integrity Framework or any BV/BA Policies.

Your Details

Your Name

Your Email Address

Your Phone Number

Report Details

Nature of your complaint

Which policy has been breached? (You must select at least one)

Member Protection Policy

Improper Use of Drugs and Medicine Policy

Child Safeguarding Policy

Competition Manipulation and Sport Wagering Policy

BV Code of Conduct

BV Social Media Policy

BV Personal Grievance Policy

Other

At what level of the sport did this incident occur?

Date of Incident

Time of Incident

Location of Incident

Details and/or description of individuals involved (if known)

Tell us what happened

Do you have any files to share at this time?

Choose File

If appropriate, would you consent to mediation with the respondent?

Declaration

I agree that the information provided in this form is true and correct

I acknowledge that Baseball Victoria may refer my matter to Baseball Australia or Sport Integrity Australia for processing if applicable

I accept that the information provided may be used and disclosed for the purposes outlined in the BV Privacy Policy. If your report includes information about potential imminent harm, an ongoing risk of harm or information about criminality, we may provide your details or information from your report to relevant law enforcement or other relevant parties.

Date / Time

BV Incident Report Form for General Grievances

Report a Concern

Your Details

Report Details

Declaration