Request edit access
FCKLL COVID Incident Form
Please submit this form if a player, umpire, or volunteer has presented COVID symptoms, been exposed to someone with COVID, or has tested positive for COVID. This form will be immediately sent to FCKLL's COVID Safety Officers, who will be in touch regarding next steps, or return-to-play guidance.
Sign in to Google to save your progress. Learn more
Email *
Your Name *
Your phone number *
Affected player/volunteer/umpire *
Team Manager Name and Team Level (Tee, A, Majors, etc.) *
Which of the following scenarios best apply to your situation? *
Is there any reason to believe the individual's team may have been exposed to COVID? *
Please list any possible players, volunteers, or other FCKLL-related individuals who may have been exposed COVID
Any other relevant information that you would like to share with FCKLL?
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Report Abuse