Player Send-Off

Player send-off

Name and initials / Association Nr.
Club / Playing position
League / division / Date
Home team / Away team
Home team (colours) / Halftime score
Away team (colours) / Final score

Fill in and mark where applicable

Competition match / First XV
Cup / Second XV
Tournament / Other XV Namely:
Other (e.g. friendly) / DamesEreklasseOther
7’s competition / ColtsJuniors / Cubs
Video recording (yes) by:

Nature of the offence, mark the applicable (see World Rugby Laws for further clarifications)

10.4(s)
10.4(m) / Verbal Abuse of Match Officials
10.4(s)
10.4(m) / Threatening Actions or Words at Match Officials
10.4(s)
10.4(m) / Physical Abuse of Match Officials
10.4(s)
10.4(m) / Incidental Physical Contact with Match Official
10.4(a) / StrikinganotherPlayerwitha hand,armorfist
10.4(a) / StrikinganotherPlayerwiththe elbow
10.4(a) / Strikingwiththe withknee
10.4(a) / Strikingwiththe withhead
10.4(b) / Stamping /Tramplingonan Opponent
10.4(c) / KickinganOpponent
10.4(d) / Trippingan Opponentwiththe foot/ leg
10.4(e) / Dangeroustacklingofan Opponentincludingearlyorlate andincludingtheactionknown asthe“stiffarmtackle”
10.4(e) / Dangerous tackling of an Opponent including:
(i)a tackle or attempted tackle above the line of the shoulders even if the tackle starts below the line of the shoulders;
(ii)grabbing and rolling/twisting around the head/neck area even if the contact starts below the line of shoulders.
10.4(f) / Holding,pushingorobstructing anOpponentnotholdingtheball, byaPlayerwhoisnotin possessionoftheball,exceptina scrum,ruckormaul
10.4(f)
10.4(k) / Dangerouschargingor obstructingorgrabbingof Opponentwithouttheball,
includingshouldering
10.4(h) / Aplayermustnotchargeintoa ruckormaul.Chargingincludes anycontactmadewithoutuseof thearms,or withoutgraspinga player
10.4(i) / Tackling, pushing, pulling, colliding with or otherwise making contact with an Opponent who is jumping for the ball in a lineout or in open play where there is no realistic prospect of the player competing for the ball
10.4(j) / LiftingaPlayerfromtheground andeitherdroppingordriving thatPlayer’sheadand/orupper bodyintothegroundwhilstthe Player’sfeetareofftheground
10.4(k) / Causingascrum,ruckormaulto collapse
10.4(m) / A player must not grab, twist, squeeze or strike an opponent in the genital area (male or female) or, in the case of female players, the breast area
10.4(m) / Biting
10.4(m) / Contact with the Eye(s)
10.4(m) / Contact with the Eye Area⁸
10.4(m) / Spitting at players
10.4(m) / Verbal abuse of Players, Match Officials, spectators, coaches or support staff based on Religion, Race, Colour, or National or Ethnic Origin, sexual orientation or otherwise
10.4(m) / Any other acts (not previously referred to) which are contrary to good sportsmanship
10.4(m) / Hair pullling or Grabbing
10.4(o) / Late charging the kicker

⁸The “eye” involves all tissues including the eye lids within and covering the orbital cavity and the “eye area” is
anywhere in close proximity to the eye.

More than one option possible! (Sanctions will conform to VWW Senioren Appendix 1)

Officials / Name, initials / RN / Club
Referee
Asst. referee 1
Asst. referee 2
4th Official

Circumstances

Has the referee seen the incident(s)? / YESNO
Was the player send-off on report of the Asst. referee(s)? / YESNO
Distance to the incident / REF ……. metersAR……. meters
Was the view of the incident obstructed? / YESPARTLYNO
Time of the incident / First half……. min. Second half……. min.
Extra time……. min.
Score at the time of the incident / Home team …….Away team ……
Had warnings been given? / InvolvedOther playersGeneral

Atmosphere of the match so far

I.e. Ttype of play,context of the match, injuriesand/ortraumas caused by the incident

Weather- and playing field conditions

Clarification of the incident

In case of foul play laws 10.4(a), 10.4(b), 10.4(c)
Did theslap, punch, kicketc. hit the “victim”?NOYESwere?:
Did the “victim” nee (para)medicalassistance?NOYES
Did the “victim” immediately play on after the incident?NOYES
Did the “victim” try to avoid confrontation?NOYES
Had there been provocation?NO YES
Was the send-off player immediately involved with the incident? YESOR did he join in later? YES
Further description of the incident

RefereeAsst. Referee (in case of AR report)

Name, initials / Name, initials
Date and place / Date and place
Signature / Signature

If a report is submitted digitally, a signature is not required

Send tocompetition leader Rugby NederlandDate:

Send-off Report RN_001dd 27-8-2017Page1