FIBA-BAT Arbitration Form | Players Shield

Player Reimbursement Form

Claimant (Player) Information

First Name *

Last Name *

Address *

Nationality *

Date of birth *

Salary *

$

Contract Length

Phone *

Email *

Arrival Date *

Departure Date *

Defendant (Team/Agent Information)

Country *

Team Name *

Team Contact Name *

Team Email

Team Phone

Team Socials *

Dispute Amount *

$

Describe What Happened *

Upload Evidence *

Contract, Screenshots, PDF's, Flights etc..

Evidence

Acknowledgment of BAT Rules and Procedures *

I/we hereby acknowledge the BAT rules and agree to adhere to them

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

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Call xxx-xxx-xxxx

Email:info@yourcompany.com

Site: www.yourcompany.com

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