USSF Referee Report

Official supplemental match report

Important:

Complete all required fields marked with *
Enter game number to auto-fill game details
Enter player pass numbers to auto-fill names and teams
Report ALL cautions and ejections from the match
Provide detailed description of any incidents

Referee Contact Information

Your Email *

You will receive a copy of this report

Your Phone

Game Information

Game Number *

Association

Division

Game Date *

Scheduled Start

Actual Start

End Time

Spectators

Game Fee

Field Name

Field Address

Teams & Scores

Home Team

Team Name *

Final Score

Halftime

Team On Time Passes Checked

Visiting Team

Team Name *

Final Score

Halftime

Team On Time Passes Checked

Match Officials

Referee *

Name *

Grade

USSF ID

Assistant Referee 1

Name

Grade

USSF ID

Assistant Referee 2

Name

Grade

USSF ID

4th Official

Name

Grade

USSF ID

Field Conditions

Field Condition

Weather

Field Markings

Injuries (if any)

Injury 1

Pass Number

Player Name

Team Code

Description

Injury 2

Pass Number

Player Name

Team Code

Description

Cautions (Yellow Cards)

Caution 1

Pass #

Name

Team

Offense

Caution 2

Pass #

Name

Team

Offense

Caution 3

Pass #

Name

Team

Offense

Caution 4

Pass #

Name

Team

Offense

Caution 5

Pass #

Name

Team

Offense

Caution 6

Pass #

Name

Team

Offense

Caution 7

Pass #

Name

Team

Offense

Red Cards & Ejections

Red Card 1

Pass #

Name

Team

Offense

Red Card 2

Pass #

Name

Team

Offense

Red Card 3

Pass #

Name

Team

Offense

Red Card 4

Pass #

Name

Team

Offense

Description of Incidents *

Please provide a detailed description of all incidents. Do not speculate about game outcomes or forfeiture. For simple reports of second cautionable ejections, only a minimal description of the two cautions is required.

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