2025 AFLSE Umpire Match Day Paperwork and Votes
This form must be completed straight after your match if OfficialsHQ platform is not working.
Date of Match
*
-
Day
-
Month
Year
Umpires Name
*
First and Last Name
Your Email Address
example@example.com
Competition
*
MPFNL
AFLSE Regional (U13 - 18)
FDJFL (U11 - 12)
SEJFL (U11 - 14)
MPJFL (U14 - 18)
Other
Grade / Age Group
Seniors
Reserves
Under 19
Womens
Under 19 Girls
Under 17.5 Boys
Under 16 Girls
Under 15 Boys
Under 14 Girls
Under 14 Mixed
Under 13 Mixed
Under 12 Girls
Under 12 Mixed
Under 11
Other
Division
Division 1
Division 2
Division 3
Premier
Blue
Gold
Navy
Red
White
Orange
Other
Round Number
*
Home Team
*
Away Team
*
Venue (and Ground Name If known)
*
Ground Condition
*
Good
Average
Poor
Line Marking
*
Good
Average
Poor
Goal Post Padding
*
Good
Average
Poor
Goal Flag Holders?
*
Yes
No
N/A
Siren
*
Good
Average
Poor
Umpires Room
*
Good
Average
Poor
If any of the above rated poor, why?
1st Quarter Started On Time?
*
Yes
No
2nd Quarter Started On Time?
*
Yes
No
3rd Quarter Started On Time?
*
Yes
No
4th Quarter Started On Time?
*
Yes
No
If No to any of the above, why?
Home Team
Correct Football(s) Supplied?
*
Yes
No
Home Club Team Sheets Supplied before Half Time?
*
Yes
No
Home Club Umpire Escort In Attendance?
*
Yes
No
Home Club Attended for All Clear?
*
Yes
No
Home Club Coaches Box Behaviour
*
3-Good, 2-Average, 1-poor
Home Club Player Behaviour
*
3-Good, 2-Average, 1-poor
Home Club Spectator Behaviour
*
3-Good, 2-Average, 1-poor
If any of the above rated poor, why?
Away Team
Away Team Sheets Supplied before Half Time?
*
Yes
No
Away Club Umpire Escort In Attendance?
*
Yes
No
Away Club Attended for All Clear?
*
Yes
No
Away Club Coaches Box Behaviour
*
3-Good, 2-Average, 1-poor
Away Club Player Behaviour
*
3-Good, 2-Average, 1-poor
Away Club Spectator Behaviour
*
3-Good, 2-Average, 1-poor
If any of the above rated poor, why?
Send Offs and Reports
Reports of players / officials need to be entered on the Notice of Report form
Player / Official Sent Off and / or reported.
List Name - Number - Club - Card Colour - Reported? - Offence
Player / Official Sent Off and / or reported.
List Name - Number - Club - Card Colour - Reported? - Offence
Player / Official Sent Off and / or reported.
List Name - Number - Club - Card Colour - Reported? - Offence
Player / Official Sent Off and / or reported.
List Name - Number - Club - Card Colour - Reported? - Offence
Best and Fairest Votes
3 Votes
*
Number - Name - Club
2 Votes
*
Number - Name - Club
1 Vote
*
Number - Name - Club
Umpire Details
Field Umpire 1
*
Field Umpire 2
Field Umpire 3
Boundary Umpire 1
Boundary Umpire 2
Boundary Umpire 3
Goal Umpire 1
Goal Umpire 2
Submit
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