JFLOCI Ejection & Incident Report

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

To be completed following every ejection or incident occurring before, during, or after a JFLOCI contest.

Email *

Your Full Name (First, Middle, Last) *

Your Title *

Date of Game *

YYYY

Age Division of Game *

Home Team *

Away Team *

Game Site *

What type of report is this? *

Person(s) Ejected or Involved in Incident (list all that apply including jersey numbers if a player) *

Title of Person(s) Ejected or Involved in Incident *

How was the Area Director or Site Director notified of the ejection or incident? Explain using names, times, and methods of communication used. *

Were the police involved? If yes, please explain in the report. *

Yes

Please type a DETAILED and COMPLETE account of the situation leading up to, causing, and following the ejection(s) or incident. (Facts only; no opinions) *

I certify that all information included in this report is correct and that I have not intentionally omitted or skewed information for any reason. *

YES

Required

*THERE ARE NO APPEALS TO ANY EJECTIONS*

After you click submit, you will receive a confirmation email. Once you have received this email, your ejection & incident report is complete. You will be notified if additional information is needed. Thank you!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms