JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Match Officials Report on Temporary Sending off (Yellow Card) (2020)
REPORT TO SUBMITTED WITHIN 48 HOURS OF THE MATCH.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Report submitted by:
*
Choose
Referee
Assistant referee
Player's first and last name
*
Your answer
Player's Union
*
Your answer
Player's Number
*
Your answer
Playing Position *
*
Choose
Loosehead Prop
Hooker
Tighthead Prop
Lock
Blindside Flanker
Openside Flanker
No 8
Half Back
1st 5/8
2nd 5/8
Centre
Left Wing
Right Wing
Fullback
Player's Grade
*
Your answer
Player's Team
*
Your answer
Officials First & Last Name
*
Your answer
Official's email
*
Your answer
Official's Union
*
Your answer
Venue
*
Your answer
Date
*
MM
/
DD
/
YYYY
Match Result
*
Your answer
Opposition Team
Your answer
Infringement of
*
Choose
Law 3.7 Rejoins a match without permission
Law 4.7 Wearing an illegal item of clothing
Law 9.7 (a) Intentionally infringe any laws of the game
Law 9.7 (b) Intentionally knock/place/push/throw the ball dead
Law 9.7 (c) Do anything to promote opposition infringement
Law 9.7 (d) Waste time
Law 9.8 A team must not repeatedly infringe (Red Card Mouth Guard)
Law 9.9 A player must not repeatedly infringe
Law 9.10 When different players of the same team commit the same offence
Law 9.11 layers must not do anything that is reckless or dangerous to others
Law 9.12 A player must not physically or verbally abuse anyone
Law 9.13 Early, late or dangerous tackle
Law 9.14 Tackling a non-ball carrying player
Law 9.15 Obstruction/hold player
Law 9.16 Intentional change or knock down of player
Law 9.17 Tackling a player whose feet are off the ground
Law 9.18 Tackling an opponent beyond 180 degree angle
Law 9.19 Dangerous play in a scrum
Law 9.20 Dangerous play in a ruck or maul
Law 9.21 A player must not retaliate
Law 9.22 Calvary charge
Law 9.23 Kick ball from hands of ball-carrier
Law 9.24 Excessive force in fending
Law 9.25 Intentionally charge/obstruct player who just kicked the ball
Law 9.26 Against the spirit of good sportsmanship
Law 9.27 Player must not physically/verbally/incidentally abuse Match Official
Nature of the offense
*
Give a short description of the law
Your answer
Period of the match when the incident occurred
*
Choose
1st half
2nd half
Elapsed time in half
*
Your answer
Proximity of Official to the incident
*
Your answer
Score at the time
*
Your answer
What were the circumstances in which the player was temporarily suspended
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sport Gisborne Tairāwhiti.
Report Abuse
Forms
