PROTEST FORM
Part 1: To be completed by the protester.
Protest must be filed and signed by the protester under the conditions outlined in the World Triathlon Competition Rules and submitted to the Head Referee.
Event Name:
Event Date:
Time Protest Submitted
Event Location:
Name of Protester:
Race Number:
Country of Protester:
Email:
Address of Protester
(street address)
Telephone (home):
Name of
Protestee:
Country of Protestee:
(City and Postal Code)
Telephone (mobile):
Race Number:
A protest is a formal complaint against the conduct of another athlete, or race official, or accredited person, or against conditions of the competition, or decisions of the Head Referee, or errors in the competition results. You must have substantial evidence, including witnesses, and you must be villing to take part in an interview. Any protest must be accompanied with a cheque or cash for $5 USD or equivalent amount.
What type of Protest is involved? (Check one box only.)
-
[ ] Protest concerning eligibility of an Athlete
-
[ ] Protest concerning composition of a start list
-
[ ] Protest concerning conditions of a Field of Play
-
[ ] Protest concerning equipment used by an Athlete
-
[ ] Protest concerning conduct of an Athlete, Technical Official, accredited Coach or any accredited personnel
-
[ ] Protest concerning decisions taken by the Head Referee
-
[ ] Protest concerning errors in the competition results
Witness Details (2):
Name of Witness 1:
Name of Witness 2:
Rule(s) Violated:
Where did the violation occur? (Define location. If required, use additional paper and draw a
diagram.)
To be completed if applicable
Who was involved in the Violation?
To be completed if applicable
How did the Violation occur (brief statement explaining alleged violation)?
To be completed if applicable
Signature of Protester:
Part 2 Official use only
Protest Fee $50 USD attached
Competition Jury / Technical Committee Panel members (Names) and tick box to indicate if it was a 3 person jury or 5 person.
-
[ ] • 3 person jury
-
[ ] 5 person jury
Time of Incident:
Date:
- [ ] Yes O No O
Competition Jury / Technical Committee Panel action:
Competition Jury / Technical Committee Chair's Name:
Signature:
Time, Date Protest received:
Time, Date Protest processed:
Amount of fee withheld/refunded: