Submit an Ejection or Concussion Report

Complete this report as soon as possible after the contest. Reports are due within 24 hours of the scheduled game start time. You will be able to review the report before submitting it.

1Enter report
2Preview & confirm
3Submitted

Report type *

1Your information

Official's name *

Email *

Your confirmation is sent here.

Phone (optional)

Representing MOG *

2Game information

Sport *

Competition level *

Game date *

Scheduled game start time *

Enter the scheduled start time — the 24-hour reporting deadline is measured from it.

Home team *

Away team *

Arbiter game number (optional)

Game location (optional)

3Person ejected

Person removed *

Reason for ejection *

Name of person removed *

Uniform number (optional)

Team of person removed *

Rule reference (optional)

Incident comments *

Describe exactly what happened, in your own words. Be as specific as possible: time, location on the field/court, what was said or done, and any warnings given.