MISCONDUCT REPORT FORM
To:
Match:
Player Reported:
Address:
Postcode:
Date of Match:
Competition:
Club:
Sending Off/Cautionable
Offence

A.
Number Worn by Player
Enter the offence as shown below e.g. A1, B2.
Sending Off Offences
1. Is guilty of serious foul play
2. Is guilty of violent conduct
4. Denies a goal or a goal-scoring
opportunity by deliberately
handling the ball
7. receives a second caution
5. Denies a goal or a goal-scoring
opportunity by other means
B.
Time of
offence
3. Spits at an opponent or other
person
6. Uses offensive, insulting or abusive
language
Cautionable Offences
1. Is guilty of unsporting
behaviour
4. Delays the restart of play
2. dissents by word or action
5. Fails to respect the required
distance at the taking of a corner
kick or free kick
3. Persistently infringes the Laws of
the Game
6. enters the field of play without
permission
7. Leaves the field of play
without permission
The incident occurred as follows:-
The player was informed that he was being *cautioned/sent off and that the matter would be reported
to the appropriate association.
Signed .................................................................. * Referee/Assistant Referee
Name:


S.F.A. Registration No:
This copy to be in the Secretary’s hands no later than the 3rd day following the match.
One copy to be retained by the Referee
Date: