IRISH FOOTBALL ASSOCIATION
DISCIPLINARY REPORT FORM
Referees are required to submit this report form containing details of misconduct in relation to:
a) Cautionable offences; b) Dismissal offences
Teams:
v
Competition:
Date of match:
Venue:
Name of Player:
Player’s Team:
Time of Incident:
I must report the above player for the following offence: (Place x were appropriate)
Cautionable Offences:
Unsporting behaviour
Dissent by word or action
Persistently infringes the Laws of the Game
Delays the restart of play
Fails to respect the required distance at a free kick, corner kick or throw in
Enters or re-enters the field of play without the permission of the referee
Deliberately leaves the field of play without the permission of the referee
Dismissal Offences:
Serious foul play
Violent conduct (involving a head-butt)
Violent conduct (other than above)
Spits at an opponent or any other person
Denies a goal or an obvious goal-scoring opportunity by deliberate hand-ball
Denies an obvious goal-scoring opportunity by physical means
Uses offensive, insulting or abusive language and/or gestures
Receives a second caution in the same match
Description of Incidents: (Only Required for Dismissal Offences)
Date:
Referee: (IN CAPITALS)
Signature:
NOTE: Further information on the submission of disciplinary reports can be found in the IFA
Disciplinary Report Guidance.
IFA DR1
HARD COPY