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NASMDA GRIEVANCE REPORT FORM DATE PRINT or type your information PRINT out this form and Mail with appropriate documentation to: Make checks payable to: North American Saddle Mule & Donkey Association NASMDA Grievance Committee 389 W Hwy 8 Steeleville, MO 65565 |
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| A. | Name and address of NASMDA member submitting grievance report form | |
| Member A. | Membership # | |
| If above is a youth member, give name of parent of youth. | Parent Signature _____________________________________ | |
| Name of Parent | Membership # | |
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Fee $100.00 Check # |
Chairman Signature _________________________________ | |
| B. | NASMDA member by violating NASMDA By-Law or Rule. | |
| Member B. | ||
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1. Date or time line the violation occurred
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2. Place the violation occurred (if applicable)
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3. State the By-Law or Rule that was violated by person B.
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4. State how the By-Law or Rule was violated
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5. State how you (person A) came to the knowledge of the violation by person B.
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| 6. State proof you have to substantiate the claim against person B. Include brief description of your documentation. | ||
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7. State names and addresses of witnesses of the violation.
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| C. |
Documentation provided by person A. (Check those that you provided to the Chairman of the Grievance Committee, along with a brief description of each item provided.) |
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| 1. Audio recording Provide copy. | ||
| 2. Video recording Provide copy. | ||
| 3. Photos # Provide copy | ||
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4. Other physical evidence (checks, money order copies, entry forms, etc.)
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5. Copies of animal registration
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6. Member B. Membership or officer status
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7. Names those providing written testimoniessupporting accusation |
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8. Other documents supporting evidence of NASMDA By-Law or rule violation. Please list.
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9. Any documentation supported by measurable testing results.
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| Signature of member filing the Grievance _________________________________ | ||
