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Home >> Match Official Report – Send Off & Expulsion

Match Official Report – Send Off & Expulsion

Match Details
Home team*
Away team*
League*
Grade*
Venue played at*
Date of fixture*
Date Format: DD slash MM slash YYYY
Time of kick off*

: HH

MM
What kind of offence was this?*
- Send-Off Offence
- Expulsion Offence (Coach from Technical Area)
Please select the relevant send-off code*
- R1 - Serious Foul Play
- R2 - Violent Conduct
- R3 - Spitting at an Opponent or Any Other Person
- R4 - Denying the opposing team a goal or an obvious goal-scoring opportunity by deliberately handling the ball (except a goal-keeper within their own penalty area)
- R5 - Denying an obvious goal-scoring opportunity to an opponent moving towards the opponent’s goal by an offence punishable by a free kick
- R6 - Using offensive, insulting or abusive language and/or gestures
- R7 - Receiving a second caution in the same match
Please describe the level of force of the contact*
- Low
- Moderate
- High
NB: IF NECESSARY, A POST SEND-OFF INCIDENT REQUIRES A SEPARATE INCIDENT REPORT
The Send-Off/Expulsion was the result of the Player’s or Team Official's following actions*
Please provide incident details above.
Team Official Details
First name*
Last name*
Club name*
FFA Number*
Player Details
First name*
Last name*
Shirt number*
Club name*
FFA Number*
Match Official Details
Enter your details below.
Role*
First name*
Last name*
Email*
Digital signature*
I certify that the information entered above is true and correct and was entered by myself.
Submission Date*
Date Format: DD slash MM slash YYYY
Note
Please submit this Match Official Report immediately after the match.

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