Softball Officials Payment Request

Welcome to the 2024 Stateline Sports Group Officials Payment Request
Welcome to the Stateline Sports Group official's payment request form. Please complete this form completely. In submitting this form you agree to abide by the following Stateline Sports Group official's payment policies.
- All official umpire payment requests submitted and received by 6 AM Monday will be processed by check and mailed on the following Wednesday.
- All officials MUST have a current W9 submitted or on file with Stateline Sports Group, Inc before any payments are processed.
Your Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date I Officiated *

MonthDayYear
Date
2nd Date I Officiated

MonthDayYear
Date
3rd Date I Officiated

MonthDayYear
Date
4th Date I Officiated

MonthDayYear
Date
I Officiated the following total number of games for the date above*

1 Game $50.002 Games $100.003 Games $150.004 Games $200.005 Games $250.006 Games $300.007 Games $350.008 Games $400.00
Please complete the address section if this is your first time submitting.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Welcome to the 2024 Stateline Sports Group Officials Payment Request