Match Leave Penalty Appeal Form
Submit your appeal against a match leave penalty. Please provide all relevant details to help us review your case.
Full Name
*
First Name
Last Name
Role
*
Player
Team Staff
Team Name
*
Match Name or ID
*
Match Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Describe the penalty you received
*
Reason for leaving the match
*
Please explain your appeal
*
Upload supporting evidence (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Contact Email
*
example@example.com
Submit Appeal
Should be Empty: