SWVFA 2023 Post Match Submission Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Role* This field is required.

4

Competition Fixture Date* This field is required.

Date

Hour

Minutes

5

Please select which Competition the incident occurred?* This field is required.

Men's Division 1

Men's Division 2

Women's Division

Under 17s

Under 14s

Under 12s

Cup Competitions/Friendly Match

6

Home Team/Club* This field is required.

7

Away Team/Club* This field is required.

8

Please upload the relevant Match Record/s* This field is required. Includes Team Sheets, etc

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

9

Was a Red Card issued during this fixture?* This field is required.

YESNO

10

How many Red Cards were issued in this fixture?

1

2

3

Contact FV if more than 4

11

Offending Player Details* This field is required.

First Name

Last Name

FFA ID

Shirt Number

Please Select Club

12

Please select the applicable offense* This field is required.

R1 - Denying the opposing team a goal or an obvious goal-scoring opportunity by a handball offense

R2 - Denying a goal or an obvious goal-scoring opportunity to an opponent whose overall movement is towards the offender's goal by an offense punishable by a free kick

R3 - Serious foul play

R4 - Biting or spitting at someone

R5 - Violent conduct

R6 - Using offensive, insulting or abusive language and/or gestures

R7 - Receiving a second caution in the same match

R8 - Offenses against a Match Official

13

Incident Details* This field is required.

How many metres away from the ball did the incident occur?

What minute did the incident occur?

How many metres away from the incident was the referee?

If anyone was injured, please specify

14

Please provide a detailed explanation of the incident. * This field is required.Please be as specific and detailed as possible and use wording from the LOTG. Quote and use exact language/force used where applicable.

15

Second Offending Player Details* This field is required.

First Name

Last Name

FFA ID

Shirt Number

Please Select Club

16

Please select the applicable offense - Second Incident* This field is required.

R1 - Denying the opposing team a goal or an obvious goal-scoring opportunity by a handball offense

R2 - Denying a goal or an obvious goal-scoring opportunity to an opponent whose overall movement is towards the offender's goal by an offense punishable by a free kick

R3 - Serious foul play

R4 - Biting or spitting at someone

R5 - Violent conduct

R6 - Using offensive, insulting or abusive language and/or gestures

R7 - Receiving a second caution in the same match

R8 - Offense against a Match Official

17

Incident Details - Second Incident* This field is required.

How many metres away from the ball did the incident occur?

What minute did the incident occur?

How many metres was the referee from the incident?

If anyone was injured, please specify

18

Please provide a detailed explanation of the incident - Second Incident* This field is required.Please be as specific and detailed as possible and use wording from the LOTG. Quote and use exact language/force used where applicable.

19

Third Offending Player Details* This field is required.

First Name

Last Name

FFA ID

Shirt Number

Please Select Club

20

Please select the applicable offense - Third Incident* This field is required.

R1 - Denying the opposing team a goal or an obvious goal-scoring opportunity by a handball offense

R2 - Denying a goal or an obvious goal-scoring opportunity to an opponent whose overall movement is towards the offender's goal by an offense punishable by a free kick

R3 - Serious foul play

R4 - Biting or spitting at someone

R5 - Violent conduct

R6 - Using offensive, insulting or abusive language and/or gestures

R7 - Receiving a second caution in the same match

R8 - Offense against a Match Official

21

Incident Details - Third Incident* This field is required.

How many metres away from the ball did the incident occur?

What minute did the incident occur?

How many metres was the referee from the incident?

If anyone was injured, please specify

22

Please provide a detailed explanation of the incident - Third Incident* This field is required.Please be as specific and detailed as possible and use wording from the LOTG. Quote and use exact language/force used where applicable.

23

Were there any additional Misconduct incidents you wish to report that were not addressed in any of the previous questions?* This field is required.ie. Misconduct that was not isolated to an individual or falls outside of the fields as listed above and that is outside the LAWS OF THE GAME. Note that any competition specific incidents such as strip clashes or game abandonment's are not to be included in the following section and will be requested later in the Form.

YESNO

24

Please provided a detailed explanation of the Misconduct incident.* This field is required.Please ensure quotes and exact words are used as best as possible and include any witnesses of the incident where necessary. e.g. throwing of objects onto the playing field or abuse towards the match official after the game

25

Were there any Competition specific incidents you wish to report* This field is required.ie. Incidents that fall outside of the relevant RULES OF COMPETITION or LAWS OF THE GAME. Note that any competition specific incidents such as strip clashes or game abandonment's should be included in this section.

YESNO

26

Do you wish to complete the mandatory Competition Incident Report now online or complete the paper form at a later date?* This field is required.Please note Competitions Incident Reports are compulsory to complete if an incident has occurred. If you do not wish to complete this now, please download the template from RefereesHQ and send any completed report/s to lachlan.cole@footballvictoria.com.au

Yes, I would like to complete the form now online

No, I would like to complete the paper form at a later date

27

Please detail the Competition specific incident - quote and use exact words where necessary* This field is required.e.g. Players from the away team were wearing a strip that clashed with home team.

28

Do you wish to provide a report regarding the facility and pitch conditions?* This field is required.A report is required if there are significant concerns to the facility and pitch conditions. If you wish to complete the paper form at a later date, select NO and download the template from RefereesHQ and send any completed report/s to lachlan.cole@footballvictoria.com.au

YESNO

29

Please provide the Venue Name* This field is required.Please select from the drop down below

34

Facility and/or Pitch Comments?* This field is required.Please provide details if the facility DID NOT conform to any of the Laws of the Game or SWVFA/FV Regulations.