Ejection Appeal Request

Ejection Appeal Request

Purpose of Form: In the event a player or coach is ejected from a contest that has bearing on participation in a state championship tournament, a responsible administrative office of that school may appeal that ejection to the UHSAA Director of Officials.
Date Submitted*

MonthDayYear
School submitting request:*
Reported By:*

First NameLast Name
Title:*
Phone Number*
Please enter a valid phone number.
Name of Person Ejected*

First NameLast Name
Select if person ejected if a Coach or Player:

CoachPlayer
Sport*
Select if person ejected is a Boy or Girl:*

BoyGirl
Jersey Number (if player)
Date of Contest*

MonthDayYear
Contest Opponent:*
Do not abbreviate.
Contest Quarter:*
Reason for Ejection:*
NFHS Rule Book Reference Being Appealed:*
Please indicate below how the above rule(s) was misapplied: be specific as to cause.
Reason for appeal:
Please note: The judgement of the officials will not be considered for appeal.
Supporting Documents Attached
Submitted within 24 hours:*

YesNo
NFHS Rules Referenced:*

YesNo
Copy of Ejection Report:*

YesNo
Video Evidence:*

YesNo
Specify any other attachments being included:
Combine documents into one pdf for upload:

Cancelof
Appeal shall be submitted to the UHSAA Director of Officials within 24 hours of ejection.
Should be Empty:

Please note: The judgement of the officials will not be considered for appeal.