Appeal Application Form

This form shall be received by the Hockey Saskatchewan Office no later than 30 days from the date the decision sought to be appealed was sent to the applicant and shall be accompanied by an Appeal Application fee of $300 (only credit card online will be accepted). If the Officer in charge of Appeals determines that the proposed Appeal does not qualify for a hearing, or if the Appellant withdraws the application, the Appeal Application fee will be refunded. For more information on the Appeals Process download a copy of Hockey Saskatchewan Regulations 3.07 from the Hockey Saskatchewan GOVERNANCE.

1. Name of person making application for Appeal (Appellant):

First Name *

Last Name *

Street Address *

City/Town *

Postal Code *

Contact Phone Number (000) 000-0000

Contact Email *

2. Name of Organization or person whose decision is being appealed (Respondant):

3. Please confirm that all other avenues of appeal have been fully pursued and exhausted prior to proceeding with this application.

Yes, I confirm that all other appeal options have been exhausted. * Yes

4. Pursuant to Regulation 3.07 you must indicate the “standing issue” or reason why you are appealing the previous decision(s). If appropriate, you may select more than one box:

The decision is in conflict with an Articles, Bylaw, Rules, Regulations, and/or policies of a: Minor Hockey Association, Hockey Saskatchewan or League and may have had a material impact on the decision rendered.

Article Yes

Article #

Bylaw Yes

Bylaw #

Rules Yes

Rules #

Regulation Yes

Regulation #

Policy Yes

Policy #

The party making the decision committed a material procedural error or failed to provide a fair Appeal hearing, that may have had a material impact on the decision rendered. Yes

The party making the decision did not have the authority or jurisdiction to make the decision. Yes

5. Facts Supporting Application – What you must include with this application form:

As an attachment to this Application, please include concisely and in numbered paragraphs: (a) the grounds for Appeal (including how the Appeal qualifies under the relevant standing issue(s) above), (b) the supporting facts and (c) clearly state the desired outcome of the requested Appeal. Pertinent documents, from the original Appeal, must be attached.

Appeal Documents *

No bigger than 5MB

Please note the following:

a) If this application is submitted by a third party on behalf of an Association/Club or on behalf of a Team that is a member of an Association/Club, it must be accompanied by a letter of support signed by at least one of the signing officers of the Association/Club.

(This is not required for a personal Appeal)

Signing Officer Name *

Association/Club/Team Name *

Letter of Support (with signature) *

No bigger than 5MB

Note to Applicants:

Please ensure that you have completed this form in full. Incomplete applications may not be processed. If you have any questions, please contact the Hockey Saskatchewan office.

Hockey Saskatchewan is committed to respecting and protecting the privacy of our Members, their Associations, individual members, their families and our employees. The personal information collected on this form and on any documents collected by Hockey Saskatchewan with respect to this Appeal and any related proceeding will be used for the sole purpose of administering this Appeal, any related proceedings, and the Rules, Regulations and By-Laws of Hockey Saskatchewan. Any such documents containing personal information will, upon request, be returned to the party submitting them when no longer needed for these purposes.

Appeal Application Form

1. Name of person making application for Appeal (Appellant):

2. Name of Organization or person whose decision is being appealed (Respondant):

3. Please confirm that all other avenues of appeal have been fully pursued and exhausted prior to proceeding with this application.

4. Pursuant to Regulation 3.07 you must indicate the “standing issue” or reason why you are appealing the previous decision(s). If appropriate, you may select more than one box:

5. Facts Supporting Application – What you must include with this application form:

Payment Methods

Card Number*

Please Enter

Expiry Month*

Please Enter

Expiry Year*

Please Enter

CVC Code*

Please Enter

Billing Address

First Name *

Please Enter

Last Name *

Please Enter

Email *

Please Enter

Phone *

Please Enter

Street *

Please Enter

PO Box or Suite #

Town/City *

Please Enter

Province *

Please Enter

Country *

Please Enter

Postal Code *

Please Enter

Comments:

Your Order Summary

4290 - Appeal Application Fee

QTY: 1

$300.00

Total

$300.00