USSF / OK Soccer Misconduct Report

USSF / OK Soccer Misconduct Report
CONTACT INFO
Referee Name*

First NameLast Name
Referee Email*
example@example.com
Referee Phone Number*
Please enter a valid phone number.
USSF ID*
Ex: 2023-0123-4567-8900
Assignor Name*

First NameLast Name
Assignor Email*
example@example.com
CREW
AR 1*

First NameLast Name
AR 2*

First NameLast Name
4th (if present)

First NameLast Name
MATCH INFORMATION
Match Date & Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Site / Complex*
Field*
Club / League / Event*
Ex: Broken Arrow Rec, OPL, ECNL, EA, etc.
Division / Age Group*
Ex: U19 Boys
Home Team Name*
Home Team Score *
Away Team Name*
Away Team Score*
SEND-OFF INFORMATION & REPORT
Red Card Name*

First NameLast Name
Team*

Home TeamAway Team
Team Role*

PlayerCoach / Team Official
Player Send-off Reason*

Second Caution (2CT)Serious Foul Play (SFP)Violent Conduct (VC)DOGSO Hand (DOGSO-H)DOGSO Foul (DOGSO-F)Offensive / insulting / abusive language or actionBiting / spiting
Coach / Team Official Send-off Reason*

Second CautionDelaying restartDeliberately leaving Technical AreaEntering opposing Technical Area in aggressive/confrontational mannerDeliberately throwing / kicking object onto field of playEntering field of play to confront official or interfere with play / opposing player / officialPhysical or aggressive behavior including biting / spitingOffensive / insulting / abusive language or actionViolent conduct
SEND-OFF REPORT*
Use the example(s) provided below to write your report in the box above.
PLAYER SECOND CAUTION (2CT)
In the 69th minute of the match, Colorado's #9 Caleb Calvert was shown the red card and sent off for receiving a second caution in the same match. Calvert received his first caution for dissent in the 67th minute and the second caution for entering the field of play without the referee's permission in the 69th minute. Calvert left the field of play in a timely manner, without causing any further incidents.
DOGSO FOUL (DOGSO-F)
In the 60th minute of the match, LAG #22 Leonardo was shown the red card and sent off for denying an obvious goal scoring opportunity by foul, with no attempt to play the ball. The offence occurred inside the penalty area approximately 8 yards from goal, where Leonardo pulled down FC Dallas' #11 Perez from behind to prevent Perez's imminent goal scoring opportunity. Leonardo left the field of play with no further incidents and play was restarted with a penalty kick.
DOGSO HAND (DOGSO-H)
In the 75th minute of the match, Seattle's #26 Casey Murphy was shown the red card and sent off for denying an obvious goal scoring opportunity. Murphy was outside of her penalty area, was the last defender, and used her hand to stop a shot toward the goal. Murphy left the field of play in a timely manner, without causing an further incident.
SERIOUS FOUL PLAY (SFP)
In the 51st minute of the match, Sporting Kansas City player #9 Kriztian Nemeth was shown the red card and sent off for serious foul play. Nemeth challenged Vancouver's #8 Felipe for the ball, while using excessive force with a straight leg, lunging tackle, and studs exposed which contacted the lower part of the shin, endangering the safety of the opponent. Nemeth left the field of play in a timely manner, without causing any further incident.
VIOLENT CONDUCT (VC)
In the 93rd minute of the match, Orlando City player #14 Dom Dwyer was shown the red card and sent off for violent conduct. Play was stopped after Dwyer used his elbow to forcefully strike Columbus Crew's #3 Josh Williams in the head, who was seriously injured and did not return to the match. Dwyer did not leave the field in a timely manner, which caused further mass confrontation.
OFFENSIVE/INSULTING/ABUSIVE LANGUAGE OR ACTION
In the 69th minute of the match, Oklahoma City #99 Jason Statham was shown the red card and sent off for using abusive language toward a match official. Statham publicly exclaimed to the referee "You're a fucking joke. You have no fucking clue what you're doing." Statham did not leave the field of play in a timely manner and continued to publicly dissent, delaying the restart of play until he was out of sight and sound.
BITING/SPITTING
In the 80th minute of the match, Miami #00 Mike Tyson was shown the red card and sent off for spitting at another player. During an attacking phase of play for Atlanta, Tyson was observed spitting at Atlanta #3 who made a fair challenge and enabled Atlanta to gain possession. Tyson left the field of play in a timely manner without further incident and play was restarted with a drop ball.
COACH/TEAM OFFICIAL SECOND CAUTION:
In the 69th minute of the match, Diablo's Head Coach Juan Valdez was shown the red card and sent off for receiving a second caution in the same match. Valdez received his first caution for dissent in the 67th minute and the second caution for dissent in the 69th minute by publicly exclaiming "When do I get to show you a yellow card?" Valdez left the technical area and the area surrounding the field of play in a timely manner, without causing further incident.

DELIBERATELY LEAVING TECHNICAL AREA:
In the 15th minute of the match, Texas' assistant coach Tom Cruise was shown the red card and sent off for deliberately leaving the technical area. Cruise ran out of his technical area toward the goal line and assistant referee to argue an offside call. Cruise left the technical area and area surrounding the field of play in a timely manner, without causing further incident.

OFFENSIVE/INSULTING/ABUSIVE LANGUAGE OR ACTION:
In the 69th minute of the match, Oklahoma City's Head Coach Jason Statham was shown the red card and sent off for using abusive language toward a match official. Statham publicly exclaimed to the referee "You're a fucking joke. You have no fucking clue what you're doing." Statham did not leave the technical area or the field of play in a timely manner and continued to publicly dissent, delaying the restart of play until he was out of sight and sound.
My crew and/or assignor has reviewed this report prior to submission.*

YesNo
Should be Empty:

USSF / OK Soccer Misconduct Report

CONTACT INFO

CREW

MATCH INFORMATION

SEND-OFF INFORMATION & REPORT