Send Off Report

Name of player sent off:

Player’s number:

Player’s club:

Send-off date:

Match between:

Grade:

Score:(Home Team)(Visitors)

Time into match offence occurred:

Ground & weather conditions:

Where did the offence occur on the field?

Where were you in relation to the offence?

Player’s reaction after being sent off:

SEND OFF DUE TO 2 x YELLOW CARDS – leave this section blank if send off is not 2 x YC

For what offence was the 1st Yellow Card issued?and/or

For what offence was the 2nd Yellow Card issued?and/or

STRAIGHT SEND OFF OFFENCE – leave this section blank if send off is 2 x YC

Had the player been previously warned or yellow carded during the game?

If yes – please state the warning and/or describe the yellow card:

For what offence was the red card issued?and/orand (if 2 x offences)

The offence was:

The scale of seriousness of the player’s conduct was:

Description of offence/s. As a minimum, include brief context (pre & post events), exact language used if dissent, whether an Assistant Referee was consulted, and for dangerous play if relevant indicate part of the body used by offender and part of victim’s body involved/affected.

Referee’s Name: