Referee Claim Form

1
Thank you for refereeing our Strike Force matches. Your support is greatly appreciated and helps ensure our players can enjoy their football each week.

To complete this form, please have the following information ready:

• The Strike Force team you officiated
• The opposition team
• The referee fee due
• Your bank details (if you have not already provided them)

Unless agreed otherwise the referee fees are as follows:

• Under-18s and above: £45
• Under-11s to Under-16s: £35
• Under-10s and below: £25

Thank you once again for helping us cover our matches. We appreciate your support throughout the season.
2
Name of Referee* This field is required.
First Name
Last Name
3
Referee Email address* This field is required.If Under-18 should be parent email
example@example.com
4
Which Strike Force team(s) did you officiate?* This field is required.Select more than one team if you did more than one match
Mini Boltz Festival
Under-7 Thunder (Andrew)
Under-7 Lightning (Ben)
Under-8 Lightning (Tom)
Under-8 Thunder (Jason)
Under-8 Hurricanes (Dan H)
Under-9 Hurricanes (Steve)
Under-9 Lightning (Danielle)
Under-9 Thunder (Jon)
Under-9 Lionesses (Joe)
Under-10 Lightning (Adam)
Under-10 Thunder (Dan)
Under-10 Lionesses (Kalina)
Under-11 Tornados (Dave Evans)
Under-11 Lionesses (Adi)
Under-11 Pumas (Chris)
Under-11Lightning (Dave Sunley)
Under-11Hurricanes (Gavin)
Under-11 Thunder (Andy)
Under-12 Lionesses (Stacey)
Under-12 Lightning (Ian)
Under-12 Hurricanes (Brett)
Under-13 Lightning (Dave)
Under-13 Hurricanes (Ryan)
Under-13 Thunder (Joe)
Under-13 Puma (Gavin)
Under-14 Pumas (Jim)
Under-14 Thunder (Dave)
Under-14 Hurricanes (Ben)
Under-14 Lionesses (Allan)
Under-14 Lightning (Matt)
Under-15 Thunder (Steve W)
Under-15 Lightning (Andy)
Under-15 Lionesses (Steve)
Under-16 Hurricanes (Wayne)
Under-16 Thunder (James)
Under-18 Lightning (Lee)
Under-18 Thunder (Russell)
Under-18 Lionesses (Simon)
Kent County League Mens (Tom)
Womens First Team (Ally)
Sunday Men Team(s)
Mens First Team SCEFL (Stuart)
Sunday (Sheppey League) Men’s Team (Lee Ramsden)
5
Match Details* This field is required.
6
Is this your final claim this weekend?* This field is required.Are you refereeing anymore matches this weekend and will be submitting a further claim?
YESNO
7
Have we paid you by bank transfer before?* This field is required.If this is your first claim of the season please select no so we can ensure we have the correct details on file.
YESNO
8
In order to make a bank transfer we need a few details
Name on your bank account
Account number
Sort Code
Should be Empty: