Player Dismissal Returns Please contact the secretary (deadline 9pm Sunday) , prior to sending the report in case of email failure. * Required Field Date* Your Name* Your Email* Competition Please Select*Brisbane Second DivisionGreater Brisbane JuniorsSchoolsSEQ WomenOther Grade Please Select*Under 13Under 14Under 15Under 16Under 17Under 19Open 3Open 2Open 1PremierOther Division Please Select*Not ApplicablePrem1234 Home Side* Away Side* Player Number* Team* Charge(s) Section 15.1* (a)(b)(c)(d)(e) (f)(g)(h)(i) (j)(k)(l)(m) Please upload a scan or photo of the player dismissal report (white copy)*. Please provide additional information if required - this is needed to explain further details over the events in regards to the player dismissal. Detailed Report Note: Rugby League Brisbane has specifically requested that when you fill out detailed report that that in order to determination of the Grading of the Penalty for all instances of: 15.1 (b) High Tackle - descriptive adjective such as Intentional, Reckless or Careless must be used. 15.1 (d) Dangerous Throw - the tackle must be described in relative terms of player safety i.e. hold in crotch, head into ground etc. 15.1 (f) Offensive or Obscene Language - the actual words allegedly spoken to be written in full.