Referee Red Card Report
Please complete this form to document a red card incident during a soccer match.
Match Date
*
-
Month
-
Day
Year
Date
Kickoff Time
*
Match Location
*
Match Field #
*
League
*
Age Division & Gender
*
Home Team Name
*
Away Team Name
*
Player's or Coach's Full Name (Red Carded)
*
First Name
Last Name
INFORMATION ABOUT THE RED CARD
Please provide as much detail as possible.
Player's/Coach's Team
*
Please Select
Home Team
Away Team
Retype Name of Team of Red Carded Person
*
Player's Jersey Number
*
TYPE COACH if red card was issued to a coach
Time of Incident (Minute of Match)
*
Part of the match the Red Card Issued?
Please Select
1st Half
2nd Half
PreGame
HalfTime
PostGame
Reason for Red Card
*
S1/R1: Serious foul play (ex. dangerous tackle)
SR/R2: Violent conduct (ex. punching, fighting)
S3/R3: Spitting at an opponent or another person
S4/R4: Denying a goal (Handball) or an obvious goal-scoring opportunity by handball
S5/R5: Denying a goal (Foul) or an obvious goal-scoring opportunity by a foul
S6/R6: Using offensive, insulting or abusive language and/or gestures
S7/R7: Receiving a second caution (yellow card) in the same match
R8/R9: Offense against match officials, team officials or other participants.
Other
Detailed Description of the Incident
*
Referee's Full Name (submitting the report)
*
First Name
Last Name
Name of AR1
*
IF no AR was present type: "NO AR". If you do not remember the AR name state: "Do not recall name".
Name of AR2
*
IF no AR was present type: "NO AR". If you do not remember the AR name state: "Do not recall name".
Name of 4th Official
If no 4th official type NA
Name of Club Official, Assignor, or Site Coordinator, IF ANY, who witnessed or received 1st-hand account.
Referee's Email Address
*
example@example.com
Referee's Phone Number
*
Please enter a valid cell/text number.
Submit Report
Should be Empty: