Incident Form

Referee Game Misconduct Report Form

Please fill out the form below to report cautions and send-offs for any AYSO Area 4U games. Required fields are highlighted. One form must be submitted per incident. More instructions

Reason and supporting details for caution and/or send-off Fill in one or the other or both (if second yellow)
Email of Person Submitting Report
Referee		Phone/email
Assistant Referee		Phone/email
Assistant Referee		Phone/email
Game Date & Time		Division
Home Team		Visiting Team
Player Name		Half	1st 2nd
Player #	Team #	Time (min)
Score at Time of Incident		Home Visitor
Reason for Caution (if a caution)
Details of Caution
Reason for Send-Off (if a send-off)
Details of Send-Off
Comments/ Questions

Instructions

The online misconduct report form is in its initial form, so some things are not yet fully automated. It's still less work than the paper equivalent, which should save both you and the person who receives the report some time and trouble. With this in mind, please note the following:

The form deals with a single match and provides a space to report one caution and/or one send-off. If you need to report additional events of either kind, please submit multiple forms with the same information at the top. (We plan to improve this eventually.)

In some cases, the disciplinary committee must act rapidly to decide the suspension associated with a sending-off. Thus, it is important that you provide contact information (phone and email address) so that you can be reached for additional information, if necessary.

Player Name, Player Number, and Team Number fields: Fill in all three fields for a player. Player number is jersey number. Team number is, e.g. U14B10.

Reason and Details fields: Note that you must select a reason from the provided list of disciplinary reasons. In addition, there is space to give details. Please provide a brief, factual description of the relevant events. In particular, if players other than the one who was disciplined are involved, please give their teams and numbers. For example, in a report for a caution of #3 of U14B10 for unsporting behavior, the details might read:

Player attempted a sliding tackle of #7 on U14B10 from the side, but failed to win the ball and tripped #7 instead.

Time field: Fill in the time of the disciplinary action within the half, e.g., "18th minute". For an event that occurred before the game, after the game, or at half-time, indicate accordingly in this field.

Score at the time of the incident: Note that the standard AYSO game cards don't make it possible to reconstruct this information. If you don't know, leave these fields blank. Make it a habit in the future to record this information.