USSF Referee Supplemental Report Introduction Complete and submit this form, along with a U.S. Soccer Referee Report, to the appropriate competition authorities (e.g., local league, tournament director, cup coordinator, etc.) as directed for the dismissal of team officials, sending-off offenses, serious injuries, game abandonment or other substantial occurrences. For instances of referee assault or referee abuse, complete and submit this form, along with a U.S. Soccer Referee Report, to the appropriate competition authorities (e.g., local league, tournament director, cup coordinator, etc.), State President with jurisdiction for the competition and State Referee Administrator.Your InformationYour Name(Required) Your Phone(Required)Your Email(Required) Game DetailHome Team Home Score Away Team Away Score Association/League(Required)Please SelectD3LRDL (Rush Select)OutbackBTT YouthBTT U9 CompEagle RecFutsalStar RecOtherName of League or Association(Required) Division/Age GroupPlease Select19B19G18B18G17B17G16B16G15B15G14B14G13B13G12B12G11B11G10B10G9B9GGame Number Game Date(Required) MM slash DD slash YYYY Narrative StatementStatement(Required)Please include a factual narrative of what happened. Avoid opinion, conjecture or unnecessary deatails.EmailThis field is for validation purposes and should be left unchanged.
