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Red Card Form
Which competition did the incident occur in?
This will ensure that the correct Discipline Officer is informed.
Competition lists will be here
Who was involved?
I have issued...
A Red Card can be issued during a game (between the first and final whistle), if the offence occurred outside of the game, then select 'Matchday Misconduct Offence'.
A Red Card
A Matchday Misconduct Offence
Name of offender
Shirt number of offender
Please enter a number from
Is the player under 18 years old?
Name of offender's club or affiliated body
What was the date of the match?
Which league / competition was the match part of?
Who were the opposition team?
Was physical violence used?
Was physical violence attempted?
Was physical violence threatened?
Who was the physical violence / attempt / threat directed towards?
A player or any other person
An umpire or properly appointed official
Was the offence two separate, but duplicate, minor offences for which a yellow card was awarded for the first offence?
Full details of the offence
Please state what was said and/or done. You also need to let us know anything which might influence the penalty (was the offence spontaneous, did the player apologise, were there any previous concerns about the team or player?)
Your name and qualification
What is your name?
What hockey umpiring qualification do you hold?
We need this to contact you about any clarifications. We will also send confirmation of this form to your email address.
Draw your signature in this box
Second umpire and qualification
What is the name of the second umpire?
What hockey umpiring qualification does the second umpire hold?
Does the second umpire want to make any supporting comments?
If the second umpire cannot provide additional comments now, but wishes to later, then click the
Save and Continue later
button, and enter your email address and the second umpire's email address in the email address field. A link will be email to both addresses which will allow you to complete the form.
Second umpire supporting comments
The second umpire should state what was said and/or done. You also need to let us know anything which might influence the penalty (was the offence spontaneous, did the player apologise, were there any previous concerns about the team or player?)
This field is for validation purposes and should be left unchanged.
Save and Continue Later
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