Minimum Bet Limits - Complaint Form

Title:*

First name:*

Surname:*

Address:*

Email:*

Telephone:*

Betting account details:

Authorised Operator:*

If 'Other' please disclose the name of the Authorised Operator:

Betting Account ID:*

What is the nature of your complaint?:*

If 'Other' please provide details:

Please provide details of the contact made with the Authorised Operator and the outcome of your inquiry, including any reasons given by the Authorised Operator:

Attach any evidence of the above:* Allowed types: JPG, PNG, PDF, DOCX, DOC

Bet Details (complete if your complaint relates to a refusal to accept a fixed odds bet)

Code of Racing:*

Thoroughbred
Harness
Greyhound

Date of Race: DD/MM/YYYY

Venue (Racecourse):

Race number:

Details of bet: (include horse or dog, stake and price)*

How was the bet placed or attempted to be placed?:

Was the bet a Bet Back? (e.g. a bet made by an Authorised Operator with another licensed wagering operator):

Date the bet was attempted to be places with the wagering operator:* DD/MM/YYYY

Time the bet was attempted to be placed with the Authorised Operator:

Time the bet was rejected by the Authorised Operator:

Attachments and other information: Allowed types: JPG, PNG, PDF, DOCX, DOC

Please list any other documents that may assist in our investigation and attach copies of the documents to this form (e.g. written communication to/from the Authorised Operator):

Is there any other information that may assist in our investigation? If yes, please provide details:

Please attach a copy of your driver’s licence or passport to this form:* Allowed types: JPG, PNG, PDF

Additional Documentation: Allowed types: JPG, PNG, PDF, DOCX, DOC

Declaration, Acknowledgements and Agreements

Full name:*

Place (city or town):*

Part 1: I have read Clause 8 of the General Conditions and I make the following statements to support my minimum bet limit complaint against an Authorised Operator:

I am domiciled in Australia:

The bet was not a Betting Transaction on a betting exchange:

I provided the Authorised Operator with sufficient funds to pay for the Relevant Fixed Odds Bet:

The bet was placed on a Queensland race:

The bet did not form part of a multi-bet:

The bet was not a retail betting transaction placed in a retail outlet:

The Authorised Operator had not already accepted a Relevant Fixed Odds Bet or a number of Relevant Fixed Odds Bets of the same bet type up to the relevant limit in clause 10.1 of the General Conditions on that horse from me:

There was not any change in the Official Price or the Authorised Operator's Publicly Displayed Price prior to the bet being requested and the Authorised Operator did not accept a bet at the pre-changed price from me:

I was not acting as an agent or nominee for a third party and I am the benficiary entitled to the whole of the proceeds of the bet:

Part 2: The Authorised Operator has not previously refused to accept a relevant fixed odds bet from me, establish an account, or place restrictions on me due to the following:

I have not been warned off or disqualified under the rules of racing:

I have not previously engaged in any fraudulent activity:

I am not on a gambling self-exclusion register:

I have not previously breached a material condition of my customer agreement with the Authorised Operator:

The Authorised Operator was not precluded from accepting any bet from me by operation of any Laws, including but not limited to the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (Cth) or any responsible gambling legislation:

There was not any systematic multiple identical bets from related or connected parties, and/or from the same IP address:

The bet was not placed or received from a proxy server:

The bet was not a promotional bet, including a bonus bet or free bet (whether in part or in whole), where I did not provide the full payment for the stake:

I am the beneficial owner of the bet and I used the relevant account in accordance with the Authorised Operator's account terms and conditions:

I have not engaged in any unauthorised scraping of the Authorised Operator's website:

I did not place the bet on behalf of another Authorised Operator and I have not used any information that is not publicly available to inform my bet and further, the bet is not a Bet Back:

The bet is not contrary to the rules of racing or any other laws:

The bet would not raise any serious integrity concerns for Racing Queensland:

I have not been restricted to betting via a specified platform (e.g telephone):

I acknowledge and agree that:

Racing Queensland may provide any or all of the information provided by me in relation to my complaint to the relevant Authorised Operator:

I will provide any information reasonably required by Racing Queensland within the timeframes required by Racing Queensland:

I have read the Minimum Bet Limit FAQ’s located on Racing Queensland's website:

View Minimum Bet Limit FAQs

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Minimum Bet Limits - Complaint Form

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Bet Details (complete if your complaint relates to a refusal to accept a fixed odds bet)

Declaration, Acknowledgements and Agreements

Part 1: I have read Clause 8 of the General Conditions and I make the following statements to support my minimum bet limit complaint against an Authorised Operator:

Part 2: The Authorised Operator has not previously refused to accept a relevant fixed odds bet from me, establish an account, or place restrictions on me due to the following:

I acknowledge and agree that:

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