PREMIER LEAGUE

PREMIER LEAGUE
APPEAL AGAINST FIXED PENALTY (Rule W.63)
To: The Secretary Date:
The Premier League
I/We* hereby appeal against the fixed penalty imposed by the notice in Form 33 dated
My/our* appeal is
* against the decision of the Board to impose the fixed penalty.
* against the amount of the fixed penalty.
* against the decision of the Board to impose the fixed penalty and its amount.
The grounds of my/our* appeal are:
A deposit of £1,000 is enclosed.
I consent pursuant to Schedule 2 and Schedule 3 of the Data Protection Act 1998 to The Football Association
Premier League Limited holding and processing any and all “personal data” and “sensitive personal data”
contained above and/or annexed to this Form 37 for the purpose of discharging its functions as a regulatory and
governing body of football.**
* delete as appropriate
§ continue on separate sheet if necessary
** delete where Respondent is not an individual
# state position if signed on behalf of a Club
Signed#
Position
Form 37
[for and on behalf of*] the Respondent
§
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PREMIER LEAGUE FORMS