SOUTHERN FOOTBALL LEAGUEPLAYER REPORT SHEET

UMPIRES PLEASE NOTE: One Report Form per Player: Report to be completed and relevant boxes are to be ticked.The following player was involved in an incident during the:-MATCH: V DIVISION: PLAYED AT: ON:

PLAYER NUMBER CLUB SENIOR ( ) WOMENS ( )

RESERVE ( ) THIRDS ( )

U19 ( )

AFL LAW Umpire’s Report in writing required to be made pursuant to the League Bylaws.19.2 REPORTABLE OFFENCES

19.2.2 Specific Offences OFFENCE

Any of the following types of conduct is a Reportable Offence:- (if applicable)

• Intentionally, recklessly or negligently making contact with or striking an Umpire; 19.2.2a £ Tribunal Appearance

• Attempting to make contact with or strike an Umpire; 19.2.2b £ Tribunal Appearance

• Using abusive, insulting, threatening or obscene language towards or in relation to an Umpire; 19.2.2c £ Tribunal Appearance

• Behaving in an abusive, insulting, threatening or obscene manner towards or in relation to an Umpire; 19.2.2d £ Tribunal Appearance

• Disputing a decision of an Umpire; 19.2.2e £ ------- 1 match** £ • Use of obscene gesture; 19.2.2f £ ------- 1 match** £ • Intentionally, recklessly or negligently:-; 19.2.2g £

- kicking another person; 19.2.2g[i] £ Tribunal Appearance

striking another person; 19.2.2g[ii] £ ------- 2 matches** £ tripping another person whether by hand, arm, foot or leg; 19.2.2g[iii] £ ------- 1 match** £ engaging in Time Wasting; 19.2.2g[iv] £ ------- 1 match** £ charging another person; 19.2.2g[v] £ ------- 2 matches** £

- throwing or pushing another Player after that Player has taken a mark. disposed of the football

or after the football is otherwise out of play; 19.2.2g[vi] £ ------- 1 match** £ engaging in rough play against an opponent which is in the circumstance is unreasonable; 19.2.2g[vii] £ ------- 1 match** £ engaging in a melee, except where a player’s sole intention is to remove a teammate

from the incident; 19.2.2g[viii] £ Tribunal Appearance

spitting at or on another person; 19.2.2g[xl £ Tribunal Appearance

-

-

-

-

-

-

-

- bumping or making forceful contact to an opponent from front -on when that player has

his head down over the ball; 19.2.2g[xi] £ Tribunal Appearance

• Attempting to kick another person; 19.2.2h £ Tribunal Appearance

• Attempting to strike another person; 19.2.2i £ ------- 1 match** £• Attempting to trip another person whether by hand, arm, foot or leg; 19.2.2j £ ------- 1 match** £• Intentionally shaking a Goal or Behind Post when another Player is preparing to Kick or is Kicking;

for Goal or after the Player has Kicked for Goal and the ball is in transit 19.2.2k £ ------- 1 match** £• Wrestling another person; 19.2.21 £ ------- 1 match** £• Using abusive, insulting, threatening or obscene language; 19.2.2m £ ------- 1 match** £• Failing to leave the playing surface when directed to do so by a umpire; 19.2.2n £ Tribunal Appearance

Wearing boots, jewellery and equipment prohibited under Law 9; 19.2.20 £ ------- 1 match** £• Any act of misconduct; 19.2.2p £ ------- 1 match** £

DETAILS OF REPORT:I was as FIELD/BOUNDARY/GOAL Umpire during the quarter, when an incident occurred. The play was in the vicinity of the

when player was reported for

Umpire’s Name: Signature: (please print)

Home Team Manager’s Name: Signature: (please print)

Away Team Manager’s Name: Signature: (please print)

White Copy - SFL Pink Copy - Reported Player/Club Yellow Copy - Witness/Club Green Copy - Umpire

SET PENALTYOFFERED BY

UMPIRE

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120483 SFL PLayer Report Pad.pdf 1 5/03/18 11:23 AM

SOUTHERN FOOTBALL LEAGUEPLAYER REPORT SHEET

UMPIRES PLEASE NOTE: One Report Form per Player: Report to be completed and relevant boxes are to be ticked.The following player was involved in an incident during the:-MATCH: V DIVISION: PLAYED AT: ON:

PLAYER NUMBER CLUB SENIOR ( ) WOMENS ( )

RESERVE ( ) THIRDS ( )

U19 ( )

AFL LAW Umpire’s Report in writing required to be made pursuant to the League Bylaws.19.2 REPORTABLE OFFENCES

19.2.2 Specific Offences OFFENCE

Any of the following types of conduct is a Reportable Offence:- (if applicable)

• Intentionally, recklessly or negligently making contact with or striking an Umpire; 19.2.2a £ Tribunal Appearance

• Attempting to make contact with or strike an Umpire; 19.2.2b £ Tribunal Appearance

• Using abusive, insulting, threatening or obscene language towards or in relation to an Umpire; 19.2.2c £ Tribunal Appearance

• Behaving in an abusive, insulting, threatening or obscene manner towards or in relation to an Umpire; 19.2.2d £ Tribunal Appearance

• Disputing a decision of an Umpire; 19.2.2e £ ------- 1 match** £ • Use of obscene gesture; 19.2.2f £ ------- 1 match** £ • Intentionally, recklessly or negligently:-; 19.2.2g £

- kicking another person; 19.2.2g[i] £ Tribunal Appearance

striking another person; 19.2.2g[ii] £ ------- 2 matches** £ tripping another person whether by hand, arm, foot or leg; 19.2.2g[iii] £ ------- 1 match** £ engaging in Time Wasting; 19.2.2g[iv] £ ------- 1 match** £ charging another person; 19.2.2g[v] £ ------- 2 matches** £

- throwing or pushing another Player after that Player has taken a mark. disposed of the football

or after the football is otherwise out of play; 19.2.2g[vi] £ ------- 1 match** £ engaging in rough play against an opponent which is in the circumstance is unreasonable; 19.2.2g[vii] £ ------- 1 match** £ engaging in a melee, except where a player’s sole intention is to remove a teammate

from the incident; 19.2.2g[viii] £ Tribunal Appearance

spitting at or on another person; 19.2.2g[xl £ Tribunal Appearance

-

-

-

-

-

-

-

- bumping or making forceful contact to an opponent from front -on when that player has

his head down over the ball; 19.2.2g[xi] £ Tribunal Appearance

• Attempting to kick another person; 19.2.2h £ Tribunal Appearance

• Attempting to strike another person; 19.2.2i £ ------- 1 match** £• Attempting to trip another person whether by hand, arm, foot or leg; 19.2.2j £ ------- 1 match** £• Intentionally shaking a Goal or Behind Post when another Player is preparing to Kick or is Kicking;

for Goal or after the Player has Kicked for Goal and the ball is in transit 19.2.2k £ ------- 1 match** £• Wrestling another person; 19.2.21 £ ------- 1 match** £• Using abusive, insulting, threatening or obscene language; 19.2.2m £ ------- 1 match** £• Failing to leave the playing surface when directed to do so by a umpire; 19.2.2n £ Tribunal Appearance

Wearing boots, jewellery and equipment prohibited under Law 9; 19.2.20 £ ------- 1 match** £• Any act of misconduct; 19.2.2p £ ------- 1 match** £

DETAILS OF REPORT:I was as FIELD/BOUNDARY/GOAL Umpire during the quarter, when an incident occurred. The play was in the vicinity of the

when player was reported for

Umpire’s Name: Signature: (please print)

Home Team Manager’s Name: Signature: (please print)

Away Team Manager’s Name: Signature: (please print)

White Copy - SFL Pink Copy - Reported Player/Club Yellow Copy - Witness/Club Green Copy - Umpire

SET PENALTYOFFERED BY

UMPIRE

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120483 SFL PLayer Report Pad.pdf 1 5/03/18 11:23 AM

SOUTHERN FOOTBALL LEAGUEPLAYER REPORT SHEET

UMPIRES PLEASE NOTE: One Report Form per Player: Report to be completed and relevant boxes are to be ticked.The following player was involved in an incident during the:-MATCH: V DIVISION: PLAYED AT: ON:

PLAYER NUMBER CLUB SENIOR ( ) WOMENS ( )

RESERVE ( ) THIRDS ( )

U19 ( )

AFL LAW Umpire’s Report in writing required to be made pursuant to the League Bylaws.19.2 REPORTABLE OFFENCES

19.2.2 Specific Offences OFFENCE

Any of the following types of conduct is a Reportable Offence:- (if applicable)

• Intentionally, recklessly or negligently making contact with or striking an Umpire; 19.2.2a £ Tribunal Appearance

• Attempting to make contact with or strike an Umpire; 19.2.2b £ Tribunal Appearance

• Using abusive, insulting, threatening or obscene language towards or in relation to an Umpire; 19.2.2c £ Tribunal Appearance

• Behaving in an abusive, insulting, threatening or obscene manner towards or in relation to an Umpire; 19.2.2d £ Tribunal Appearance

• Disputing a decision of an Umpire; 19.2.2e £ ------- 1 match** £ • Use of obscene gesture; 19.2.2f £ ------- 1 match** £ • Intentionally, recklessly or negligently:-; 19.2.2g £

- kicking another person; 19.2.2g[i] £ Tribunal Appearance

striking another person; 19.2.2g[ii] £ ------- 2 matches** £ tripping another person whether by hand, arm, foot or leg; 19.2.2g[iii] £ ------- 1 match** £ engaging in Time Wasting; 19.2.2g[iv] £ ------- 1 match** £ charging another person; 19.2.2g[v] £ ------- 2 matches** £

- throwing or pushing another Player after that Player has taken a mark. disposed of the football

or after the football is otherwise out of play; 19.2.2g[vi] £ ------- 1 match** £ engaging in rough play against an opponent which is in the circumstance is unreasonable; 19.2.2g[vii] £ ------- 1 match** £ engaging in a melee, except where a player’s sole intention is to remove a teammate

from the incident; 19.2.2g[viii] £ Tribunal Appearance

spitting at or on another person; 19.2.2g[xl £ Tribunal Appearance

-

-

-

-

-

-

-

- bumping or making forceful contact to an opponent from front -on when that player has

his head down over the ball; 19.2.2g[xi] £ Tribunal Appearance

• Attempting to kick another person; 19.2.2h £ Tribunal Appearance

• Attempting to strike another person; 19.2.2i £ ------- 1 match** £• Attempting to trip another person whether by hand, arm, foot or leg; 19.2.2j £ ------- 1 match** £• Intentionally shaking a Goal or Behind Post when another Player is preparing to Kick or is Kicking;

for Goal or after the Player has Kicked for Goal and the ball is in transit 19.2.2k £ ------- 1 match** £• Wrestling another person; 19.2.21 £ ------- 1 match** £• Using abusive, insulting, threatening or obscene language; 19.2.2m £ ------- 1 match** £• Failing to leave the playing surface when directed to do so by a umpire; 19.2.2n £ Tribunal Appearance

Wearing boots, jewellery and equipment prohibited under Law 9; 19.2.20 £ ------- 1 match** £• Any act of misconduct; 19.2.2p £ ------- 1 match** £

DETAILS OF REPORT:I was as FIELD/BOUNDARY/GOAL Umpire during the quarter, when an incident occurred. The play was in the vicinity of the

when player was reported for

Umpire’s Name: Signature: (please print)

Home Team Manager’s Name: Signature: (please print)

Away Team Manager’s Name: Signature: (please print)

White Copy - SFL Pink Copy - Reported Player/Club Yellow Copy - Witness/Club Green Copy - Umpire

SET PENALTYOFFERED BY

UMPIRE

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120483 SFL PLayer Report Pad.pdf 1 5/03/18 11:23 AM

SOUTHERN FOOTBALL LEAGUEPLAYER REPORT SHEET

UMPIRES PLEASE NOTE: One Report Form per Player: Report to be completed and relevant boxes are to be ticked.The following player was involved in an incident during the:-MATCH: V DIVISION: PLAYED AT: ON:

PLAYER NUMBER CLUB SENIOR ( ) WOMENS ( )

RESERVE ( ) THIRDS ( )

U19 ( )

AFL LAW Umpire’s Report in writing required to be made pursuant to the League Bylaws.19.2 REPORTABLE OFFENCES

19.2.2 Specific Offences OFFENCE

Any of the following types of conduct is a Reportable Offence:- (if applicable)

• Intentionally, recklessly or negligently making contact with or striking an Umpire; 19.2.2a £ Tribunal Appearance

• Attempting to make contact with or strike an Umpire; 19.2.2b £ Tribunal Appearance

• Using abusive, insulting, threatening or obscene language towards or in relation to an Umpire; 19.2.2c £ Tribunal Appearance

• Behaving in an abusive, insulting, threatening or obscene manner towards or in relation to an Umpire; 19.2.2d £ Tribunal Appearance

• Disputing a decision of an Umpire; 19.2.2e £ ------- 1 match** £ • Use of obscene gesture; 19.2.2f £ ------- 1 match** £ • Intentionally, recklessly or negligently:-; 19.2.2g £

- kicking another person; 19.2.2g[i] £ Tribunal Appearance

striking another person; 19.2.2g[ii] £ ------- 2 matches** £ tripping another person whether by hand, arm, foot or leg; 19.2.2g[iii] £ ------- 1 match** £ engaging in Time Wasting; 19.2.2g[iv] £ ------- 1 match** £ charging another person; 19.2.2g[v] £ ------- 2 matches** £

- throwing or pushing another Player after that Player has taken a mark. disposed of the football

or after the football is otherwise out of play; 19.2.2g[vi] £ ------- 1 match** £ engaging in rough play against an opponent which is in the circumstance is unreasonable; 19.2.2g[vii] £ ------- 1 match** £ engaging in a melee, except where a player’s sole intention is to remove a teammate

from the incident; 19.2.2g[viii] £ Tribunal Appearance

spitting at or on another person; 19.2.2g[xl £ Tribunal Appearance

-

-

-

-

-

-

-

- bumping or making forceful contact to an opponent from front -on when that player has

his head down over the ball; 19.2.2g[xi] £ Tribunal Appearance

• Attempting to kick another person; 19.2.2h £ Tribunal Appearance

• Attempting to strike another person; 19.2.2i £ ------- 1 match** £• Attempting to trip another person whether by hand, arm, foot or leg; 19.2.2j £ ------- 1 match** £• Intentionally shaking a Goal or Behind Post when another Player is preparing to Kick or is Kicking;

for Goal or after the Player has Kicked for Goal and the ball is in transit 19.2.2k £ ------- 1 match** £• Wrestling another person; 19.2.21 £ ------- 1 match** £• Using abusive, insulting, threatening or obscene language; 19.2.2m £ ------- 1 match** £• Failing to leave the playing surface when directed to do so by a umpire; 19.2.2n £ Tribunal Appearance

Wearing boots, jewellery and equipment prohibited under Law 9; 19.2.20 £ ------- 1 match** £• Any act of misconduct; 19.2.2p £ ------- 1 match** £

DETAILS OF REPORT:I was as FIELD/BOUNDARY/GOAL Umpire during the quarter, when an incident occurred. The play was in the vicinity of the

when player was reported for

Umpire’s Name: Signature: (please print)

Home Team Manager’s Name: Signature: (please print)

Away Team Manager’s Name: Signature: (please print)

White Copy - SFL Pink Copy - Reported Player/Club Yellow Copy - Witness/Club Green Copy - Umpire

SET PENALTYOFFERED BY

UMPIRE

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120483 SFL PLayer Report Pad.pdf 1 5/03/18 11:23 AM

SOUTHERN FOOTBALL NETBALL LEAGUE

PLAYER REPORT SHEET

Any of the following types of conduct is a Reportable Offence: Intentionally or carelessly; ..........................................................................................................................................................................................................19.2.2a - striking another person ..........................................................................................................................................................................................19.2.2a(i) ................2 matches** - kicking another person ...........................................................................................................................................................................................19.2.2a(ii) Tribunal Appearance - kneeing another person ..........................................................................................................................................................................................19.2.2a(iii) Tribunal Appearance - stomping on another person .................................................................................................................................................................................19.2.2a(iv) Tribunal Appearance - charging another person ........................................................................................................................................................................................19.2.2a(v) ................2 matches** - engaging in rough conduct against an opponent which in the circumstances is unreasonable; .............................................................19.2.2a(vi) ................1 match** - bumping or making forceful contact to an opponent from front-on when that Player has their head down over the football ...19.2.2a(vii) Tribunal Appearance - head-butting an opponent or making contact to an opponent using the head .........................................................................................19.2.2a(viii) Tribunal Appearance - eye-gouging an opponent or making unreasonable or unnecessary contact to the eye region of an opponent ..............................19.2.2a(ix) Tribunal Appearance - making unreasonable or unnecessary contact to the face of an opponent ................................................................................................19.2.2a(x) Tribunal Appearance - making unreasonable or unnecessary contact with an injured Player .........................................................................................................19.2.2a(xi) Tribunal Appearance - scratching another person; or...............................................................................................................................................................................19.2.2a(xi) Tribunal Appearance - tripping another person whether by hand, arm, foot or leg ..........................................................................................................................19.2.2a(xiii) ................1 match** • Intentionally making contact with, or striking, an Umpire ...............................................................................................................................................19.2.2b Tribunal Appearance• Attempting to make contact with, or strike, an Umpire ..................................................................................................................................................19.2.2c Tribunal Appearance• Carelessly making contact with an Umpire .........................................................................................................................................................................19.2.2d Tribunal Appearance• Spitting at or on an Umpire .....................................................................................................................................................................................................19.2.2e Tribunal Appearance• Spitting at or on another person ............................................................................................................................................................................................19.2.2f Tribunal Appearance• Attempting to strike another person ....................................................................................................................................................................................19.2.2g ................1 match** • Attempting to kick another person .......................................................................................................................................................................................19.2.2h Tribunal Appearance• Attempting to trip another person whether by hand, arm, foot or leg ........................................................................................................................19.2.2i ................1 match** • Using abusive, insulting, threatening or obscene language ...............................................................................................................................................19.2.2j ................1 match** • Using abusive, insulting or obscene language towards or in relation to an Umpire ..................................................................................................19.2.2k Tribunal Appearance• Behaving in an abusive, insulting, threatening or obscene manner towards or in relation to an Umpire ............................................................19.2.2l Tribunal Appearance• Disputing a decision of an Umpire .........................................................................................................................................................................................19.2.2m ................1 match** • Use of an obscene gesture .......................................................................................................................................................................................................19.2.2n ................1 match** • Engaging in Time Wasting ........................................................................................................................................................................................................19.2.2o ................1 match** • Engaging in an act of staging .....................................................................................................................................................................................................19.2.2p ................1 match** • Engaging in a Melee, except where a Player’s sole intention is to remove a Player from the same Team from the incident .........................19.2.2q Tribunal Appearance• Instigating a Melee ......................................................................................................................................................................................................................19.2.2r Tribunal Appearance• Wrestling another person .......................................................................................................................................................................................................19.2.2s ................1 match** • Pinching another person ...........................................................................................................................................................................................................19.2.2t Tribunal Appearance• Interfering with a Player Kicking for Goal ............................................................................................................................................................................19.2.2u ................1 match** • Kicking or otherwise causing the football to hit any part of a stadium roof’s structure (including attachments) ..............................................19.2.2v Tribunal Appearance• Intentionally shaking a goal or behind post when another Player is preparing to Kick or is Kicking for Goal or after the Player has Kicked for Goal and the football is in transit .......................................................................................................................................................................................19.2.2w ................1 match** • Failing to leave the Playing Surface when directed to do so by an Umpire .................................................................................................................19.2.2x Tribunal Appearance• Wearing boots, jewellery and equipment prohibited under Law 9 ...............................................................................................................................19.2.2y ................1 match** • Engaging in any other act of misconduct or serious misconduct....................................................................................................................................19.2.2z ................1 match**

SOUTHERN FOOTBALL LEAGUEPLAYER REPORT SHEET

UMPIRES PLEASE NOTE: One Report Form per Player: Report to be completed and relevant boxes are to be ticked.The following player was involved in an incident during the:-MATCH: V DIVISION: PLAYED AT: ON:

PLAYER NUMBER CLUB SENIOR ( ) WOMENS ( )

RESERVE ( ) THIRDS ( )

U19 ( )

AFL LAW Umpire’s Report in writing required to be made pursuant to the League Bylaws.19.2 REPORTABLE OFFENCES

19.2.2 Specific Offences OFFENCE

Any of the following types of conduct is a Reportable Offence:- (if applicable)

• Intentionally, recklessly or negligently making contact with or striking an Umpire; 19.2.2a £ Tribunal Appearance

• Attempting to make contact with or strike an Umpire; 19.2.2b £ Tribunal Appearance

• Using abusive, insulting, threatening or obscene language towards or in relation to an Umpire; 19.2.2c £ Tribunal Appearance

• Behaving in an abusive, insulting, threatening or obscene manner towards or in relation to an Umpire; 19.2.2d £ Tribunal Appearance

• Disputing a decision of an Umpire; 19.2.2e £ ------- 1 match** £ • Use of obscene gesture; 19.2.2f £ ------- 1 match** £ • Intentionally, recklessly or negligently:-; 19.2.2g £

- kicking another person; 19.2.2g[i] £ Tribunal Appearance

striking another person; 19.2.2g[ii] £ ------- 2 matches** £ tripping another person whether by hand, arm, foot or leg; 19.2.2g[iii] £ ------- 1 match** £ engaging in Time Wasting; 19.2.2g[iv] £ ------- 1 match** £ charging another person; 19.2.2g[v] £ ------- 2 matches** £

- throwing or pushing another Player after that Player has taken a mark. disposed of the football

or after the football is otherwise out of play; 19.2.2g[vi] £ ------- 1 match** £ engaging in rough play against an opponent which is in the circumstance is unreasonable; 19.2.2g[vii] £ ------- 1 match** £ engaging in a melee, except where a player’s sole intention is to remove a teammate

from the incident; 19.2.2g[viii] £ Tribunal Appearance

spitting at or on another person; 19.2.2g[xl £ Tribunal Appearance

-

-

-

-

-

-

-

- bumping or making forceful contact to an opponent from front -on when that player has

his head down over the ball; 19.2.2g[xi] £ Tribunal Appearance

• Attempting to kick another person; 19.2.2h £ Tribunal Appearance

• Attempting to strike another person; 19.2.2i £ ------- 1 match** £• Attempting to trip another person whether by hand, arm, foot or leg; 19.2.2j £ ------- 1 match** £• Intentionally shaking a Goal or Behind Post when another Player is preparing to Kick or is Kicking;

for Goal or after the Player has Kicked for Goal and the ball is in transit 19.2.2k £ ------- 1 match** £• Wrestling another person; 19.2.21 £ ------- 1 match** £• Using abusive, insulting, threatening or obscene language; 19.2.2m £ ------- 1 match** £• Failing to leave the playing surface when directed to do so by a umpire; 19.2.2n £ Tribunal Appearance

Wearing boots, jewellery and equipment prohibited under Law 9; 19.2.20 £ ------- 1 match** £• Any act of misconduct; 19.2.2p £ ------- 1 match** £

DETAILS OF REPORT:I was as FIELD/BOUNDARY/GOAL Umpire during the quarter, when an incident occurred. The play was in the vicinity of the

when player was reported for

Umpire’s Name: Signature: (please print)

Home Team Manager’s Name: Signature: (please print)

Away Team Manager’s Name: Signature: (please print)

White Copy - SFL Pink Copy - Reported Player/Club Yellow Copy - Witness/Club Green Copy - Umpire

SET PENALTYOFFERED BY

UMPIRE

C

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120483 SFL PLayer Report Pad.pdf 1 5/03/18 11:23 AM

SOUTHERN FOOTBALL LEAGUEPLAYER REPORT SHEET

UMPIRES PLEASE NOTE: One Report Form per Player: Report to be completed and relevant boxes are to be ticked.The following player was involved in an incident during the:-MATCH: V DIVISION: PLAYED AT: ON:

PLAYER NUMBER CLUB SENIOR ( ) WOMENS ( )

RESERVE ( ) THIRDS ( )

U19 ( )

AFL LAW Umpire’s Report in writing required to be made pursuant to the League Bylaws.19.2 REPORTABLE OFFENCES

19.2.2 Specific Offences OFFENCE

Any of the following types of conduct is a Reportable Offence:- (if applicable)

• Intentionally, recklessly or negligently making contact with or striking an Umpire; 19.2.2a £ Tribunal Appearance

• Attempting to make contact with or strike an Umpire; 19.2.2b £ Tribunal Appearance

• Using abusive, insulting, threatening or obscene language towards or in relation to an Umpire; 19.2.2c £ Tribunal Appearance

• Behaving in an abusive, insulting, threatening or obscene manner towards or in relation to an Umpire; 19.2.2d £ Tribunal Appearance

• Disputing a decision of an Umpire; 19.2.2e £ ------- 1 match** £ • Use of obscene gesture; 19.2.2f £ ------- 1 match** £ • Intentionally, recklessly or negligently:-; 19.2.2g £

- kicking another person; 19.2.2g[i] £ Tribunal Appearance

striking another person; 19.2.2g[ii] £ ------- 2 matches** £ tripping another person whether by hand, arm, foot or leg; 19.2.2g[iii] £ ------- 1 match** £ engaging in Time Wasting; 19.2.2g[iv] £ ------- 1 match** £ charging another person; 19.2.2g[v] £ ------- 2 matches** £

- throwing or pushing another Player after that Player has taken a mark. disposed of the football

or after the football is otherwise out of play; 19.2.2g[vi] £ ------- 1 match** £ engaging in rough play against an opponent which is in the circumstance is unreasonable; 19.2.2g[vii] £ ------- 1 match** £ engaging in a melee, except where a player’s sole intention is to remove a teammate

from the incident; 19.2.2g[viii] £ Tribunal Appearance

spitting at or on another person; 19.2.2g[xl £ Tribunal Appearance

-

-

-

-

-

-

-

- bumping or making forceful contact to an opponent from front -on when that player has

his head down over the ball; 19.2.2g[xi] £ Tribunal Appearance

• Attempting to kick another person; 19.2.2h £ Tribunal Appearance

• Attempting to strike another person; 19.2.2i £ ------- 1 match** £• Attempting to trip another person whether by hand, arm, foot or leg; 19.2.2j £ ------- 1 match** £• Intentionally shaking a Goal or Behind Post when another Player is preparing to Kick or is Kicking;

for Goal or after the Player has Kicked for Goal and the ball is in transit 19.2.2k £ ------- 1 match** £• Wrestling another person; 19.2.21 £ ------- 1 match** £• Using abusive, insulting, threatening or obscene language; 19.2.2m £ ------- 1 match** £• Failing to leave the playing surface when directed to do so by a umpire; 19.2.2n £ Tribunal Appearance

Wearing boots, jewellery and equipment prohibited under Law 9; 19.2.20 £ ------- 1 match** £• Any act of misconduct; 19.2.2p £ ------- 1 match** £

DETAILS OF REPORT:I was as FIELD/BOUNDARY/GOAL Umpire during the quarter, when an incident occurred. The play was in the vicinity of the

when player was reported for

Umpire’s Name: Signature: (please print)

Home Team Manager’s Name: Signature: (please print)

Away Team Manager’s Name: Signature: (please print)

White Copy - SFL Pink Copy - Reported Player/Club Yellow Copy - Witness/Club Green Copy - Umpire

SET PENALTYOFFERED BY

UMPIRE

C

M

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CM

MY

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CMY

K

120483 SFL PLayer Report Pad.pdf 1 5/03/18 11:23 AM