USSF Referee Feedback Form

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USSF Referee Feedback Form - Vermont

Use this form to give feedback on an official. All responses will be reviewed by the State Referee Administrator and the State Referee Assignor.

Competition: *

Level/Age: *

My role in this game was: *

Date of Match *

YYYY

Time of Match *

Time

Location of Match *

Match Number (if known)

Performance Rating *

5 - Official was excellent and should be considered for higher level matches

4 - Official did a good job

3 - Official did a fair/okay job

2 - Official needs more time to develop and matches at this level are a challenge

1 - Official should not be doing matches at this level and needs to be evaluated by an assessor

Performance Comments

Name/Contact Info (Optional)

Submit

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