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Home
Tutorials
COMET Tutorials
MyComet
Downloads
Matchday Downloads
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Resources
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Contact
Useful Links
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Malta FA Portal
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Complaints Board – Claim Form
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1. Details of Complainant
In which capacity are you submitting this complaint
*
Please select
Please select
Lawyer or Legal Representative
Club or Member Association
In my own capacity
First Name
*
Surname
*
ID Card No
*
Tel/Mob
*
Email
*
Upload Proxy
*
Drop files here or click to select
% Completed
0
Client Name
*
Client Email
*
Client Tel/Mob
*
Designation on behalf of the club
*
Please select
Please select
President
Secretary
Teasurer
Vice-President
Asst. Secretary
Deputy Treasurer
Club Name:
*
Club Email
*
2. Details of Respondent
Complaint respondent type
Please select
Please select
Individual
Club
Member Association
Club/Member Name
*
Respondent Name
*
Respondent Surname
*
Respondent ID Card No
Respondent Tel/Mob
Respondent Email
3. Claim request details
a.) Please insert below a detailed description of the claim request being made, including all required information in an accurate manner:
b.) Please insert below the total claim value in Euros
c.) Please insert below the details of any witnesses being presented or requested
Details to include Last Name, First Name, I.D. card No., Tel/Mob Number & E-mail address. Any written evidence submitted by witnesses should be listed here and included in the attachments in Section 3d.
Upload Documents
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Any evidence or additional material can be uploaded here
d.) Please list below all the documents being attached to this complaint claim (if applicable):
4. Protest Deposit Fee
Payable Amount
*
€25 for claims up to €2,500 or when the complaint has no monetary value €100 for claims over €2500 and up to €10,000 €250 for claims over €10,000
Applicant Details
on behalf of
Payment Method (in my own capacity)
*
Online Payment
Payment Method
*
MFA Account (only applicable to clubs)
Online Payment
Signature
*
I hereby declare, that the above details and documentation are true and correct
Submit Complaint
Complaints Board – Claim Form
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