Appeal Proxy Form

Appeal Proxy Form
Appeal Hearing Case Number:
Appeal Hearing Date

YearMonthDay
Date
Per the Ontario Soccer Operational Procedures, the Appellant and the Respondent and, where applicable, Affected Party must attend their hearing. Anyone representing any of the parties at an Appeal Hearing must provide this signed proxy before being allowed to participate at a hearing.
Affected Party Type
Affected Party's Name:
Affected Party's Email
example@example.com
Choice of Proxy Holder
The Affected Party's proxy holder will be:
Proxy Holder Name:

First NameLast Name
Email
example@example.com
Alternate Proxy Holder Name:

First NameLast Name
Email
example@example.com
This Proxy is only valid at the following Appeal Hearing:
On this date:

YearMonthDay
Date
Affected Party's Signature

Clear
Name

First NameLast Name
Signature

Clear
Name

First NameLast Name
Date

YearMonthDay
Date
Additional Instructions

5. Failure to attend an appeal hearing when required without a good and sufficient reason.

a) An Appellant in an Appeal will lose the appeal.

b) A Respondent or Affected Party will lose the right to argue the decision being appealed. The Appeal Hearing will proceed based on the documentation pertaining to the Respondents original decision but without the Respondent’s or the Affected Party’s response to the appeal being considered in any way.

Ontario Soccer must receive your proxy prior to the hearing dated above.
Case Manager
example@example.com
Should be Empty:

Choice of Proxy Holder