ERRA Discipline Incident (Match/Misconduct) Reporting Form

Distribution:This form will be sent to:
	ERRA G&T and Coaching Coordinators, Chair, VP's, Referee in Chief Association RIC's for the teams involved (if within ERRA)
Game Identification
	League
	Type of Game
	Age Group
	Division
	Game Date
	Start Time
	Arena

Home Team
	Association
	Name

Visiting Team
	Association
	Name

Offender Identification
	Jersey #/Colour
	Offender Name
	Offender Team
	Offender Role

Offence Details
	Half/Period
	Scoreboard Time

	Ringette Canada Official Rule (select as many as required)


	Description of the incident: (Please explain in detail what took place prior to, at the time of, and following the incident):


Referee Information
	Reporting Official
	2nd Official Name
	Email


	Gamesheets: If available, photographs of gamesheets can be emailed separately to erra_incident_reports@ncrrl.on.ca. Reports or other information can also be sent to this address. Important Note: This form is only for the use of on-ice Officials (Referees) when reporting details of an expulsion penalty assessed during or after a game. The form is not intended for use by Coaches. Coaches must contact the Regional G&T Coordinator by email at gt_coord@easternregionringette.ca within 24 hrs (or before the next game) whenever an expulsion is assessed against either team.