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Red Card Report
Please get the umpire to fill in the below form when a red card is issued. This needs to be completed within 24 hours of the of the match where the suspension occurred.
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* Indicates required question
Name of Umpire
*
Your answer
Umpires email and Phone numbers
*
Your answer
Co umpires name
*
Your answer
Are you club supplied or CHA appointed?
*
Your answer
Suspended Players name
*
Your answer
Club of suspended player
*
Your answer
Grade of game being played
*
Your answer
Date, time and venue of game
*
Your answer
Reason for red card
*
Foul Play - Intentional or Malicious
Swearing
Fighting
Abusive language or dissent
Striking an umpire
Striking a player
Other:
At what time of the game did the offence occur?
*
Your answer
Where did the offence occur
*
Mid Field
Outside circle
Inside circle
Free Hit
16 yard hit
Penalty corner
Penalty stroke
Off Field
Other:
Please provide in detail the sequence of events that led to the permanent suspension. What was the intent of the player(s) or individual(s) and any further important details
*
Your answer
Please note any witnesses and the contact information
Your answer
Had a general warning been issued prior to the suspension?
*
Yes
No
Had the suspended played been warned prior to the Red card suspension?
*
Yes
No
Had the red carded suspended players already been temporarily suspend?
*
Yes
No
Other:
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