VIDEO REVIEW POLICY
SUBMISSION FORM
Name
First Name
Last Name
E-mail
Phone Number
-
Area Code
Phone Number
Date OF GAME
-
Month
-
Day
Year
Date
Affiliation to Team
Parent / Spectator
Player
Coach
Manager
Reason for submission
For the purpose of identifying the correct player in situations where an incorrect player may have been identified by the on-ice officials and issued a penalty resulting in suspension.
For the purpose of reviewing the conduct of game officials (coaches, staff, referees) during altercations. specifically when the use of force is concerned.
For the purpose of reviewing a game situation has or may have resulted in a serious injury to any player whether a penalty was assessed or not.
For the purpose of reviewing a penalty that carries an indefinite suspension
For the purpose of reviewing the conduct of spectators or parents
Upload Letter of Endorsement
Upload Game Sheet
Upload Video
Please include your submission statement to further clarify what is being appealed.
Date OF SUBMISSION
-
Month
-
Day
Year
Date
Submit
Should be Empty: