Please complete all sections and submit within 24 hours of the completion of judging. The KFNW Director and all Tournament Directors will receive your submission and notify you if additional information is needed. You will be notified of the committee's final ruling.Name* First Last Phone*Email* I certify that*All five of the following statements must be true for a dispute to be considered. I competed in the Event where the disputed action occurred. The outcome of this dispute or appeal materially affects my ranking or prize eligibility. I have NOT posted about or discussed this issue in a public forum or social media. I have NOT publicly disputed any judge’s ruling or dispute or appeal decision related to this issue. I have reviewed the KFNW Rules Standard and believe my dispute or appeal is valid. Tournament Name*In what event was the infraction alleged to have occurred? Copy the name from the KFNW website or TourneyX to make sure it's accurate and complete. Tournament Start Date* MM slash DD slash YYYY Description of Dispute*Describe the score, penalty, judgment or other issue that is in dispute.Relevant Rule*Cite the rule that applies in this situation. If no rule, describe the practice or principle involved.Testimony*What is your side of the story? Tell us what really happened, from your perspective.Evidence*Provide evidence or corroborating testimony to support your contention, if any. If you have none, type "None."Upload EvidenceIf you have photographs or other documentation of the incident, upload them here. Drop files here or Select files Max. file size: 50 MB, Max. files: 6. Digital Signature*By typing my name as a digital signature, I certify that the information submitted on this form is truthful, accurate and complete. Digital Signature Date* MM slash DD slash YYYY CAPTCHA