Queensland Cricket Breach of Code of Behaviour Report Form

Queensland Cricket Breach of Code of Behaviour Report Form
Name of individual submitting this report*
Email*
example@example.com
Phone Number*
Your role in the match played*

UmpireClub SecretaryPlayer participating in matchOther
Which club do you represent?*
Umpires Details

Please provide details of the second umpire in this match (note: if match was umpired "solo" please write "no second umpire" in these fields)
Was there a second umpire in this match?*

YesNo
2nd umpire's name*
2nd umpire's phone number*
2nd umpire's email*
example@example.com

Queensland Premier Cricket

An umpire submitting this form MUST contact Nathan James (0420 541 570) to advise of this report
Which Premier Cricket Grade does this report relate to?*
Community Cricket Match Details
An umpire submitting this form MUST contact the appropriate person for their competition to advise of this report:
- Brisbane Metropolitan Cricket & GPS: Nathan James 0420 541 570
- Sub-Districts: Kanchan Bandyopadhyay - email conducts@qsdca.com.au;
- Warehouse: Hitesh Rathod 0412 784 102;
- Logan Cricket: David Staines 0414 595 636;
- Cricket Ipswich: Matt van de Werken 0400 538 608;
- Toowoomba Cricket Association: John Davis - email jd@qldbar.asn.au and CC to secretary@toowoombacricket.com.au
- Rockhampton Cricket: Stephen Kydd 0407 766 130;
Which grade does this report relate to?*
Home Team Name*
Home Team Name*
Home Team Captain*
Home Team Captain Phone Number*
NOTE: If you do not have phone number for Home Team captain, please input zeroes to this field.
Home Team Captain Notified?*

YesNo
When was the Home Team Captain Notified?*

DayMonthYear
Date
Hour MinutesAM/PM Option
Away Team Name*
Away Team Name*
Away Team Captain*
Away Team Captain Phone Number*
NOTE: If you do not have phone number for Away Team captain, please input zeroes to this field.
Away Team Captain Notified?*

YesNo
When was the Away Team Captain Notified?*

DayMonthYear
Date
Hour MinutesAM/PM Option
Player / Official Charged
Name of Player / Official Reported*
Club / Team of Player / Official Reported*
Player / Official Notified?*

YesNo
When was the Player / Official Notified?*

DayMonthYear
Date
Hour MinutesAM/PM Option
Please select the relevant section/s of the Code of Behaviour that the player/official has breached*

[a] The captains are responsible at all times for ensuring that play is conducted within the spirit of the game as well as within the Laws.[b][i] Players, officials and umpires must not abuse cricket equipment or clothing, ground equipment or fixtures and fittings.[b][ii] Players, officials and umpires must not assault or attempt to assault an umpire, a player, an official or spectator.[b][iii] Players and officials must not react with dissension, either towards an umpire, their decision, or generally, following an umpiring decision.[b][iv] Players and officials must not use crude or abusive language, or otherwise engage in conduct detrimental to the spirit of the game.[b][v] Players and officials must not indulge in conduct detrimental to the game.[b][vi] Players and officials must in no way use crude or abusive hand signals.[b][vii] Players and officials must not engage in any form of racial or religious abuse or harassment as defined in the Queensland Cricket Racial and Religious Vilification Code, the Cricket Australia Racial and Religious Vilification Code or Anti-Harassment Policy.[b][viii] Without limiting any other rule, players and officials must not make public or media comment which is detrimental to the interests of the game.
NOTES TO REPORTING OFFICIALS:

Where an umpire is considering or wishes to report an alleged breach of the Code of Behaviour, the umpire[s] must inform captains of the lodgment or pending lodgment of a report of his/her player as soon as practical, either on the field or at the close of the day’s play. The umpire[s] must complete the prescribed umpire’s Report Form and forward a copy of the Report, together with any further written submission within 72 hours after the completion of the match.
CoB *

The captains are responsible at all times for ensuring that play is conducted within the spirit of the game as well as within the Laws.
CoB [i] Indicate the level of this Code of Behaviour breach by selecting the relevant offence:*

Level 1 - Abuse cricket equipment or clothing, ground equipment or fixtures and fittingsLevel 2 - Abuse cricket equipment or clothing, ground equipment or fixtures and fittings - actions that may cause injury to other participants or spectatorsLevel 3 - Abuse cricket equipment or clothing, ground equipment or fixtures and fittings - actions that may cause serious injury to other participants or spectators
CoB [ii] Indicate the level of this Code of Behaviour breach by selecting the relevant offence:*

Level 1 - Assault or attempt to assault an umpire, a player, an official or spectatorLevel 2 - Attempt to engage in inappropriate and deliberate physical contact with other players or officials NOT in the course of playLevel 2 - Engage in inappropriate and deliberate physical contact with other players or officials in the course of play.Level 2 - Throw the ball at or near a player or official in an inappropriate and/or dangerous mannerLevel 3 - Threaten to assault another player, Team official or spectator.Level 3 - Physically assault another player, umpire, referee, official or spectator.Level 3 - Engage in any act of violence on the field of play.
CoB [iii] Indicate the level of this Code of Behaviour breach by selecting the relevant offence:*

Level 1 - Show dissent at an umpire's decision by action or verbal abuse.Level 2 - Show serious dissent at an umpire's decision by action or verbal abuse.Level 3 - Intimidate an umpire or referee whether by language or conduct.
CoB [iv] Indicate the level of this Code of Behaviour breach by selecting the relevant offence:*

Level 1 - Use language that is obscene, offensive or insulting and/or the making of an obscene gestureLevel 2 - Use language or gesture that is obscene, offensive or of a seriously insulting nature to another player, official or spectatorLevel 3 - Use crude or abusive language or gestures which then incite another person to commit a Code of Behaviour breach
CoB [v] Indicate the level of this Code of Behaviour breach by selecting the relevant offence:*

Level 1 - Engage in excessive appealingLevel 1 - Breach any regulation regarding approved clothing or equipmentLevel 1 - Disobey any umpire's instruction during a matchLevel 2 - Charge or advance towards the umpire in an aggressive manner when appealing.Level 2 - Deliberately or maliciously distract or obstruct another player or official on the field of play.Level 2 - Attempt to manipulate a Match in regard to the result, net run rate, bonus points or otherwise. The captain of the team guilty of such conduct shall be held responsible.Level 2 - Seriously breach any regulation regarding approved clothing or equipment.Level 3 - Change the condition of the ball in breach of Law 41.3Level 3 - Attempting to gain an unfair advantage during a matchUngraded - any breach of Law 41 (Unfair Play) not specifically covered by the aboveUngraded - any offence not covered elsewhere that is contrary to the Spirit of CricketUngraded - any offence not covered elsewhere that is unbecoming of a representative or officialUngraded - any offence not covered elsewhere that is or could be harmful to the interests of cricketUngraded - any offence not covered elsewhere that does or could bring the game of cricket into disrepute
CoB [vi] Indicate the level of this Code of Behaviour breach by selecting the relevant offence:*

Level 1 - Point or gesture towards the pavilion in an aggressive manner upon the dismissal of a batterLevel 2 - Crude or abusive hand signals towards another player, official or spectator that would cause offence, serious insult, or provoke an aggressive reactionLevel 3 - Use gestures that offend, insult, humiliate, intimidate, threaten, disparage or vilify another person on the basis of that person’s race, religion, gender, colour, descent, sexuality or national or ethnic origin
CoB [vii] Indicate the level of this Code of Behaviour breach by selecting the relevant offence:*

Level 3 - Use language or gestures that offend, insult, humiliate, threaten, disparage or vilify another person on the basis of that person’s race, religion, gender, colour, descent, sexuality or national or ethnic origin
CoB [viii] Indicate the level of this Code of Behaviour breach by selecting the relevant offence:*

Level 3 - Make public or media comment detrimental to the interests of the game
Details of Code of Behaviour Breach
Please provide full details of each breach here, including as much detail as possible.*

0/0
Should be Empty:

Queensland Cricket Breach of Code of Behaviour Report Form

Umpires Details

Details of reported incident

Queensland Premier Cricket

Community Cricket Match Details

Player / Official Charged

NOTES TO REPORTING OFFICIALS:

Details of Code of Behaviour Breach