SECTION 1
Dispute Number (For National Office Use)
Complainant’s Name
Address
Phone Number
E-mail Address
Scout Group/County/Province/National
Date Dispute Notified (For National Office Use)
SECTION 2
Dispute Hearing Panel Findings
SECTION 3
Dispute Hearing Panel Recommendations
SECTION 4
Dispute Hearing Attendees Roles
Dispute Hearing Panel
Chair/Panel Member
Signature: ____________________ (Chairman)
Date:
Signature: _____________________ (Panel Member)
Date:
Signature: ____________________ (Panel Member)
Date: