Match Officials - Match Report and Expense Claim Form
Please email a photo copy of team lines to astie.cameron@shinty.com . In order to submit an online expense form all details for match bookings and sending's off must be written clearly detailing the offence that has been committed. Failure to do so will nullify the claim. Clubs must be satisfied that the details on the claim form are correct before signing.
Name *
Your answer
Address and Postcode *
Your answer
Email Address (Optional)
Your answer
Match and result
Your answer
Date of match
Your answer
Home Team Substitutes Used Player On - Number Player Off - Number *
Your answer
Away Team Substitutes Used Player On - Number Player Off - Number *
Your answer
Venue *
Your answer
Is there a special report with this form? *
Please provide details of the special report?
Your answer
Home Team Yellow or Red cautions (Please provide Shirt Number, Player Name, membership number, Club, Time of Offence, Offence Code, Red or Yellow))
Your answer
Away Team - Yellow or Red cautions (Please provide Shirt Number, Player Name, membership number, Club, Time of Offence, Offence Code, Red or Yellow)
Your answer
Competition
Total Expenses Incurred (Please provide the total number of Miles x @45p per mile) *
Your answer
Public Transport (receipts to be emailed)
Your answer
Other expenses (receipts to be emailed)
Your answer
Match Fee (Paid By Club) *
Your answer
Total to be paid *
Your answer
Other observations - Pitch Condition, Markings and Flags *
Your answer
Signed by Match Referee *
Your answer
Submit
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