[If you do not have the player's USA CIPP number, please note this in the comments and enter 99999 for the number.]
Your answer
Date of Incident: *
MM
/
DD
/
YYYY
Card Information: *
Offense for which penalized under Law or Administrative guidelines
Choose
Law 9, 1-6 - Obstruction
Law 9, 7 - Unfair Play
Law 9, 8-10 - Repeated infringements
Law 9, 11-26 - Dangerous play
Law 9, 27-28 - Misconduct
Admin - Off-the-field behavior
Narrative Information: *
Please provide full details on the incident. Items to consider - Were previous warnings issued? Did anything provoke the incident? Were there any relevant incidents after issuing the card? (* This answer field will allow paragraph responses*)
Your answer
If you were subject to Referee Abuse, provide detailed description and please specify the individual: