ID Organization Name Type
105053 usawpr Other
Print PDF

Incident Report

Procedure to follow after an incident:

 

1.  Any and all Incident Reports MUST be filed within 24 hours of the completion of the contest in addition to notification to the USA Water Polo Director of Referees by phone at +1.310.413.1140 or email at jcullingham@usawaterpolo.org.  Failure to follow this procedure will result in possible sanctions against the referee(s) involved.  Please be further advised that it is your responsibility as referees to make sure that there are verified rosters at each and every game and that competing athletes are verified as to their roster via photo id and cap number.

 

2.  Incidents to be reported include, but are not limited to, Misconduct, (exclusion with substitution), Brutality Fouls, and Red  Cards to Coaches or Players not in the field of play. You are also required to file a report for injury to any player or participant that may not have resulted in a "foul" being called in addition to any extra circumstances that effect the game.  (ie. spectator behavior, medical attention required, and any or all unprofessional behavior on the part of your colleague or game participants.

 

3.  Please make sure you provide as much detail and information as possible.  Too much information is better than none.

 

 

Reported by (Name): *
E-mail Address: *
Date and Time Report is written: *
Zone Affiliation: *
Title: *
Referee 1 Name and Email address: *
Referee 2 Name and Email address: *
Delegate Name & Email address: *
Event: *
Location of Game: *
Date of Game: *
Time of Incident: *
Home Team: *
Visiting Team: *
Names of Players/Coaches/Personnel Involved (NOTE: Include full names, cap numbers and team affiliation): *
Situation that led to the incident (BE DETAILED): *
Describe any consequences as a result of the incident: *
Eye witnesses, video availability and contact information: *
The person(s) was *
The incident delayed the game for approximately how many minutes? *
Additional game suspension served at this event? *
* Required  
 
 
About | Contact | Privacy | Terms
© 2018 ArbiterSports
Server: 16
 
ABT-WEB16