Sch. 1
APPEAL TO THE RACING APPEALS AND DISCIPLINARY BOARD
Appeals to be lodged with: FAX: PHONE:
Boards Registrar EMAIL:
Address:
Appeal notices must be lodged by 5 p.m. on the third day after the day the appellant receives notice of the decision
Name of appellant:
Address:
Telephone: Fax:
I give notice that I appeal against the decision and/or penalty imposed under the Rules of:
*Harness Racing Victoria *Greyhound Racing Victoria
On [ date of decision ] in Race No. [ if applicable ]
at [ racetrack/meeting ]
I [ name ] was found guilty under rule [ rule under which penalty imposed ] of a charge of [ particulars of charge ]
And the following penalty was imposed:
*fine of $ *AND/*OR
*suspension/*disqualification of my licence for *days
*weeks
*months *years
Commencing [date] and expiring [date] *AND/*OR
*warning off
I am appealing against the:
*decision to impose a penalty and severity of the penalty
*severity of the penalty
and the grounds for my appeal are:
*I do not wish to apply for a stay of the penalty imposed
*I wish to apply for a stay of the penalty imposed on the following grounds
Please note: Engagements booked for race meetings after the hearing date of an appeal are made on the understanding that suspensions, disqualifications or warnings off may take effect immediately should the appeal be unsuccessful and the appellant will be unable to fulfil the engagement.
*I will be representing myself at the appeal
*I will be represented at the appeal by:
Name
Address Telephone
Sch. 1
Signature of Appellant Date
*Strike out whichever is inapplicable
__________________
Sch. 1
RACING APPEALS AND DISCIPLINARY BOARD
To:
Take notice that you are summoned to appear before the Racing Appeals and Disciplinary Board of:
*Racing Victoria Limited *Harness Racing Victoria
*Greyhound Racing Victoria
in the *appeal/*hearing in the matter of: [ name ]
at [ address ]
on [ date ]
at [time] a.m./p.m.
Note: Failure to comply with a summons may result in a penalty.
STATEMENT OF SERVICE
I [ name ]
declare that at [ place ]
on [ date ]
at [time] a.m./p.m.
I served a true copy of this summons on [ name of person being summoned ]
By [ manner of service ]
Signed:
Dated:
*Strike out whichever is inapplicable