Minimum Bet Limits - Complaint Form

Title

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Select
MR
MRS
MS
MISS
DR

First name

Surname

Address

Telephone

Betting account details

Authorised Operator

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Select
Bet365
Bluebet
Centrebet
ClassicBet
CrownBet
Ladbrokes
Neds
Palmerbet
PointsBet
Sportsbet
The Global Tote
Topbetta
TopSport
UniBet
William Hill
TABCORP
UBET
WA TAB
Other

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

Betting Account ID

What is the nature of your complaint?

Select

Select
Account closure
Refusal to open an account
Refusal to accept a fixed odds bet when those fixed odds are displayed
Refusal to accept a fixed odds bet up to the MBL
Laying lesser odds than those publicly displayed
Other

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

Select a file

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?

Online

Online
Mobile App
Telephone

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

Select

Select
Yes
No

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

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12:00 AM
12:05 AM
12:10 AM
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12:25 AM
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Time the bet was rejected by the Authorised Operator

Select

Select
12:00 AM
12:05 AM
12:10 AM
12:15 AM
12:20 AM
12:25 AM
12:30 AM
12:35 AM
12:40 AM
12:45 AM
12:50 AM
12:55 AM
01:00 AM
01:05 AM
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11:55 PM

Attachments and other information

Select a file

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

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Allowed types: JPG, PNG, PDF

Additional Documentation

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

Declaration, Acknowledgements and Agreements

Full name

Place (city or town)

Minimum Bet Limits - Complaint Form

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:

Brisbane Racing Club@Doomben

Bluff-Blackwater Amateur Race Club Inc

Gympie Turf Club

Julia Creek Turf Club

Central Warrego Race Club