Significant Incident Report

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This report is to be completed by each official and submitted to the President within 48 hours of the incident.

Note: A PDF copy of this form is available for information purposes.
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Reporting Official
Partner Official
Game Date
Start Time
Location
Teams
Level
Game Time of Incident
Individuals Involved (Coaches, Players, Fans - Team, Name & Numbers)
Details of Incident (Clearly state the FACTS of the incident & the actions taken by the officials. Be concise & avoid subjective opinions.)