USSF Referee Report Introduction Complete and submit this form to the appropriate competition authorities (e.g., local league, tournament director, cup coordinator, etc.) as directed. If needed, and in addition to the U.S. Soccer Referee Report, the U.S. Soccer Supplemental Referee Report can be used for instances of referee assault, referee abuse, dismissal of team officials, sending-off offenses, serious injuries, game abandonment or other substantial occurrences.Your InformationYour Name*Your Phone*Your Email* Game DetailsHome TeamHome ScoreAway TeamAway ScoreAssociation/League*Please selectISL (D-3)RDL (Rush Select)OutbackBTT YouthBTT U9 CompStar RecEagle RecFutsalOtherName of League or Association*Division/Age GroupPlease Select19B19G18B18G17B17G16B16G15B15G14B14G13B13G12B12G11B11G10B10G9B9GGame NumberGame Date Date Format: MM slash DD slash YYYY RefereeReferee GradePlease SelectGrass RootsRegionalRegional EmeritusAssistant Referee 1Assistant Referee 1 GradePlease SelectGrass RootsRegionalRegional EmeritusAssistant Referee 2Assistant Referee 2 GradePlease SelectGrass RootsRegionalRegional EmeritusFourth OfficialFourth Official GradePlease SelectGrass RootsRegionalRegional EmeritusCautions/Yellow CardsHow Many Cautions/Yellow Cards Did You Give?*Please select012345678910Player 1 Name*Player 1 Pass/ID NumberPlayer 1 Team*Player 1 Misconduct Code*Please SelectUnsporting Behavior (UB)Dissent (DT)Persistent Offenses (PO)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Player 2 Name*Player 2 Pass/ID NumberPlayer 2 Team*Player 2 Misconduct Code*Please selectUnsporting Behavior (UB)Dissent (DT)Persistent Infringement (PI)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Player 3 Name*Player 3 Pass/ID NumberPlayer 3 Team*Player 3 Misconduct Code*Please selectUnsporting Behavior (UB)Dissent (DT)Persistent Infringement (PI)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Player 4 Name*Player 4 Pass/ID NumberPlayer 4 Team*Player 4 Misconduct Code*Please selectUnsporting Behavior (UB)Dissent (DT)Persistent Infringement (PI)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Player 5 Name*Player 5 Pass/ID NumberPlayer 5 Team*Player 5 Misconduct Code*Please selectUnsporting Behavior (UB)Dissent (DT)Persistent Infringement (PI)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Player 6 Name*Player 6 Pass/ID NumberPlayer 6 Team*Player 6 Misconduct Code*Please selectUnsporting Behavior (UB)Dissent (DT)Persistent Infringement (PI)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Player 7 Name*Player 7 Pass/ID NumberPlayer 7 Team*Player 7 Misconduct Code*Please selectUnsporting Behavior (UB)Dissent (DT)Persistent Infringement (PI)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Player 8 Name*Player 8 Pass/ID NumberPlayer 8 Team*Player 8 Misconduct Code*Please selectUnsporting Behavior (UB)Dissent (DT)Persistent Infringement (PI)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Player 9 Name*Player 9 Pass/ID NumberPlayer 9 Team*Player 9 Misconduct Code*Please selectUnsporting Behavior (UB)Dissent (DT)Persistent Infringement (PI)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Player 10 Name*Player 10 Pass/ID NumberPlayer 10 Team*Player 10 Misconduct Code*Please selectUnsporting Behavior (UB)Dissent (DT)Persistent Infringement (PI)Delaying the Restart (DR)Failure to Respect Distance (FRD)Entering, Re-entering or Leaving (ERL)Send Offs/Red CardsHow Many Send Offs/Red Cards Did You Have?*Please select012345Please note that you must also file a U.S. Soccer Supplemental Referee Report. [Link here]Person 1 Name*Person 1 Pass/ID NumberPlayer 1 Team*Person 1 Misconduct Code*Please selectSerious Foul Play (SFP)Violent Conduct (VC)Spitting or Biting (SB)DOGSO Handling (DGH)DOGSO Foul (DGF)Abusive LanguageSecond Caution (2CT)Irresponsible Behavior (Coach/Bench Only)Person 2 Name*Person 2 Pass/ID NumberPlayer 2 Team*Person 2 Misconduct Code*Please selectSerious Foul Play (SFP)Violent Conduct (VC)Spitting or Biting (SB)DOGSO Handling (DGH)DOGSO Foul (DGF)Abusive LanguageSecond Caution (2CT)Irresponsible Behavior (Coach/Bench Only)Person 3 Name*Person 3 Pass/ID NumberPlayer 3 Team*Person 3 Misconduct Code*Please selectSerious Foul Play (SFP)Violent Conduct (VC)Spitting or Biting (SB)DOGSO Handling (DGH)DOGSO Foul (DGF)Abusive LanguageSecond Caution (2CT)Irresponsible Behavior (Coach/Bench Only)Person 4 Name*Person 4 Pass/ID NumberPlayer 4 Team*Person 4 Misconduct Code*Please selectSerious Foul Play (SFP)Violent Conduct (VC)Spitting or Biting (SB)DOGSO Handling (DGH)DOGSO Foul (DGF)Abusive LanguageSecond Caution (2CT)Irresponsible Behavior (Coach/Bench Only)Person 5 Name*Person 5 Pass/ID NumberPlayer 5 Team*Person 5 Misconduct Code*Please selectSerious Foul Play (SFP)Violent Conduct (VC)Spitting or Biting (SB)DOGSO Handling (DGH)DOGSO Foul (DGF)Abusive LanguageSecond Caution (2CT)Irresponsible Behavior (Coach/Bench Only)EmailThis field is for validation purposes and should be left unchanged.