BUCS INITIAL APPEAL PRO-FORMA INSTITUTION: MEN’S / WOMEN’S: SPORT: CONFERENCE: DATE & TIME OF FIXTURE: HOME TEAM: AWAY TEAM: RESULT: REGULATION(S) CONTRAVENED:
TIER: VENUE: LEVEL: (i.e. 1st , 2nd, 3rd) LEVEL: (i.e. 1st , 2nd, 3rd) FULL EXPLANATION: (THIS MUST RELATE TO THE REGULATION CONTRAVENED)
OTHER RELEVANT INFORMATION SUPPORTING YOUR APPEAL: Please continue on separate sheet if necessary Playing Under Protest Form Please ensure a copy of any Playing Under Protest Form accompanies this appeal if one was signed. Ideally this should be scanned but if it is to be faxed please note this on the form.
Is a copy of the signed Playing Under Protest Form emailed with the appeal? Yes / No If no, is the Form being faxed to the BUCS Office? Yes / No
A.U./SPORTS FEDERATION AUTHORISATION I understand that the completion & submission of this form will commence the BUCS Initial Appeal Process: Name:_________________________________ Position:____________________ Signature:_________________________________ Date:_______________________________
This form should be e-mailed to the opposition Athletic Union main contact and appeals@bucs.org.uk by 5pm on the day following the fixture. Please note the changes to the Appeals process which can be found in General Reg 16 for reference. A £50 lodging fee for Initial Appeals is applicable.