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 Information

Your Name*

Your Phone*

Your Email*

Game Details

Home Team

Home Score

Away Team

Away Score

Association/League*

Name of League or Association*

Division/Age Group

Game Number

Game Date

Referee

Referee Grade

Assistant Referee 1

Assistant Referee 1 Grade

Assistant Referee 2

Assistant Referee 2 Grade

Fourth Official

Fourth Official Grade

Cautions/Yellow Cards

How Many Cautions/Yellow Cards Did You Give?*

Player 1 Name*

Player 1 Pass/ID Number

Player 1 Team*

Player 1 Misconduct Code*

Player 2 Name*

Player 2 Pass/ID Number

Player 2 Team*

Player 2 Misconduct Code*

Player 3 Name*

Player 3 Pass/ID Number

Player 3 Team*

Player 3 Misconduct Code*

Player 4 Name*

Player 4 Pass/ID Number

Player 4 Team*

Player 4 Misconduct Code*

Player 5 Name*

Player 5 Pass/ID Number

Player 5 Team*

Player 5 Misconduct Code*

Player 6 Name*

Player 6 Pass/ID Number

Player 6 Team*

Player 6 Misconduct Code*

Player 7 Name*

Player 7 Pass/ID Number

Player 7 Team*

Player 7 Misconduct Code*

Player 8 Name*

Player 8 Pass/ID Number

Player 8 Team*

Player 8 Misconduct Code*

Player 9 Name*

Player 9 Pass/ID Number

Player 9 Team*

Player 9 Misconduct Code*

Player 10 Name*

Player 10 Pass/ID Number

Player 10 Team*

Player 10 Misconduct Code*

Send Offs/Red Cards

How Many Send Offs/Red Cards Did You Have?*

Please note that you must also file a U.S. Soccer Supplemental Referee Report. [Link here]

Person 1 Name*

Person 1 Pass/ID Number

Player 1 Team*

Person 1 Misconduct Code*

Person 2 Name*

Person 2 Pass/ID Number

Player 2 Team*

Person 2 Misconduct Code*

Person 3 Name*

Person 3 Pass/ID Number

Player 3 Team*

Person 3 Misconduct Code*

Person 4 Name*

Person 4 Pass/ID Number

Player 4 Team*

Person 4 Misconduct Code*

Person 5 Name*

Person 5 Pass/ID Number

Player 5 Team*

Person 5 Misconduct Code*

Email

This field is for validation purposes and should be left unchanged.

Introduction

Your Information

Game Details

Cautions/Yellow Cards

Send Offs/Red Cards

Contact

Get Email Updates
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USSF Referee Report

Introduction

Your Information

Game Details

Cautions/Yellow Cards

Send Offs/Red Cards

Contact

Get Email UpdatesClick Here

Get Email Updates
Click Here