Red Card Reports Match Official Name(required) Match Official Role(required) Please Select Referee Assistant Referee Match Official Email(required) Match Official Phone(required) Name of Player sent off(required) Jersey Number of player sent off(required) Date of Match(required) Club of Player sent off(required) Gender (required) please select Male Female Age Group(required) please select Senior U18 U17 U16 U15 U14 Ground(required) Home Team(required) Away Team Tone of the Match(required) Details of Offence (please select)(required) 10.2 (a) Intentional Offending 10.3 (a) Repeated Infringements 10.4 (s) (m) Dissent towards Match Official 10.4 (s) (m) Verbal Abuse of Match Official 10.4 (s) (m) Threatening Actions or Words at Match Official 10.4 (s) (m) Physical Abuse of Match Official 10.4 (s) (m) Incidental Physical Contact with Match Official 10.4 (a) striking another player with elbow knee or head 10.4 (a) striking another player 10.4 (b) stamping / trampling on an opponent 10.4 (c) kicking an opponent 10.4 (d) tripping an opponent with the foot / leg 10.4 (e) dangerous tackle (early / late / shoulder charge / stiff arm 10.4 (e) dangerous tackle (above line of shoulders / grabbing and rolling / twisting around the head and neck area) 10.4 (f) holding / pushing or obstructing an opponent 10.4 (g) 'dangerous' charging or obstruction or grabbing of an opponent 10.4 (h) charging into a ruck or maul 10.4 (i) tackling / pushing / pulling / colliding with or otherwise making contact with an opponent jumping for the ball in a lineout or open play 10.4 (j) lifting a player from the ground and either dropping or driving player's head and/or upper body into ground 10.4 (k) causing a scrum / ruck or maul to collapse 10.4 (m) grabbing / twisting / squeezing or striking an opponent's genital area 10.4 (m) biting 10.4 (m) contact with the eye/s or eye area 10.4 (m) spitting at players 10.4 (m) verbal abuse of players / spectators / coaches or support staff based on religion / race / colour / national or ethnic origin or sexual orientation 10.4 (m) any other acts which are contrary to good sportsmanship 10.4 (m) hair pulling or grabbing 10.4 (o) late charging the kicker 10.5 (b) 2nd yellow card offence When did the Red Card Incident occur?(required) please select First Half Second Half Half Time If Red card was a 2nd Yellow Card Offence, what offence was the 1st Yellow Card Issued? What offence was the 2nd Yellow Card Issued? Send-off offence was:(required) please select careless / reckless intentional / delibrate N/A The offence occured at:(required) please select scrum lineout tackle ruck maul general play out of play other Please describe the circumstances of the offence(s) in as much detail as relevant(required) Where were you in relation to the incident?(required) Do you have any additional comments? Match Official Name Match Official Role Please Select Referee Assistant Referee Match Official Email Match Official Phone Name of Player sent off Jersey Number of player sent off Date of Match Club of Player sent off Gender (please select) Male Female Age Group (please select) Senior U18 U17 U16 U15 U14 Share this:TwitterFacebookGoogleLike this:Like Loading...
