
SECTION 1
Dispute Number (For National Office Use)
Name of Witness
Address
Phone Number
E-mail Address
Scout Group/County/Province/National
Date Dispute Notified (For National Office Use)
SECTION 2
Written Record Of Witness Evidence As Presented To The Dispute Appeal Hearing Panel
NB: All witnesses that give evidence should be advised at the outset that during these proceedings they should avoid expressing their personal opinion and provide a factual account of the events only.

The record as outlined above is an accurate reflection of the Dispute Appeal Hearing proceedings.
Signature: (Witness)
Date:
Signature: (Chairman)
Date: