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Home >> Match Official Report – Send Off & Expulsion

Match Official Report – Send Off & Expulsion

Match Official Send-Off Expulsion Report

Match Details
Home Team*
Away Team*
League*
Grade*
Played at*
Venue Name
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
NOTE: 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 information of the incident in the text box above
Team Official Details
Team Official Name*
First Last
Team Official Club Name*
Team Official FFA Number
Player Details
Player/ Team Official Name*
First Last
Shirt Number*
FFA Number*
Club Name*
Match Official Details
Role*
Your Name*
First Last
Your Email*
Digital Signature*
Yes
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
Please Note
Please submit this Match Official Report immediately after the match.

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