Application for New Replacement Player in Unexpected Circumstances (See QSDCA Reg 23.2)Player to be replacedClub Name* Grade*CCC1B1B2B3C1C2C3C4Player Name* PlayHQ or Cricket Id (if known) Reason for Replacement*Representative Cricket dutyPremier Cricket duty (QSDCA only)Unexpected serious illness or injuryWork CommitmentFinancial ReasonPersonal crisisCarer or Family responsibilityLawful reasonPlease select one (Pls note some reasons are unavailable in CCC)DetailsDate player is OUT (usually day 2 of the match)Date*Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Month123456789101112Day12345678910111213141516171819202122232425262728293031Replacement playerPlayer Name* PlayHQ or Cricket Id (if known) Details of Current MatchName of Opposition team* Team 1 Captain Details*NamePhoneTeam 2 Captain DetailsNamePhoneMatch umpire’s name Application submitted by (name)* Email address for notification* Application outcome will be posted to https://qsdca.com.au/cricketops/ soonCAPTCHA