1. Please submit this form by 4pm the next working day after the completion of the match.
2. Participants MUST submit Prescribed Form 04 at the same time as submitting this Form.
3. Clubs should read and consider section 7.3 prior to signing and lodging this form with Football NSW.
4. If Football NSW does not receive properly completed forms by the time specified in paragraph 1, the Participant issued with the Notice of Suspension shall serve the Suspension.
5. Capitalised words used in this document are defined in the Regulations.