Your IBA Member Name and Email Address:

Name of Player(s) Involved in Your Complaint:

Name of Host / Intern On Duty:

This incident occurred during:

An IBA Tournament
An IBA Leaue Match

Date of Incident:

-- mm/dd/yy

Time of Incident: (CET Time)

-- hh:mm

Please describe your complaint. Be as specific as possible with details

Do you have any Screen Shots (pictures) of what happened? (If yes, save these pictures on your computer. IBA will request them separately.)

Yes
No

If you have copies of text from chat or private messages that are not picture files, Please copy and past them here:

(Copy and paste all text from chat, private messages or email here.)