CALTA Grievance Form        

Print out this form.  Complete and send to Rules Committee Chairman, Nancy Pitcairn

840 Pitt St., Mt. Pleasant, SC 29464 (phone: 849-6865; fax:849-6407 )

Today's Date_____________                            CALTA Division ______________

Information must be complete and received by the Rules Committee Chairman within one week following the date of the incident to merit review.  Upon receipt of this complaint, the Chairman will immediately communicate with all parties involved in the grievance and ask them to submit responses within one week,  if appropriate.  Upon receipt of any such response(s), she will refer the matter to the CALTA Board.  Within two weeks, the Chairman will inform in writing all the parties involved of the Board's decision.

If you are FILING the grievance:

Name(s) & Phone Number(s) ___________________________________________________________

__________________________________________________________________________________

Team_______________________________________________________________  

If you are RESPONDING to a grievance filed against you:

Name(s) & Phone Number(s) __________________________________________________________

_________________________________________________________________________________

Team______________________________________________________________

Date of Match__________________                        Location of Match___________________

Home Team & Captain____________                      Away Team & Captain_______________

______________________________                      _________________________________

Player(s) Involved (Home Team):                                   Player(s) Involved (Away Team):

______________________________                            _______________________________

______________________________                            _______________________________

Witness(es) if any -- Please include full name and team or, if not a CALTA member, name, address, phone no. ___________________________________________________________________

___________________________________________________________________________

Description of Incident (attach additional sheets as necessary):