850 Ridge Avenue
Suite 301
Pittsburgh, PA 15212
Office: (412) 321-8440
Fax: (412) 321-4088
NCFA EJECTION REPORT
Instructions: a) One form should be completed for each ejection incident.
b) Report must be completed in its entirety.
c) Completed Protest Forms must be emailed to the conference coordinator as well as the Commissioner of the NCFA
([email protected]).
d) Completed Ejection Reports must be received by the league office no later than 48 hours after the ejection occurs, or the
team is automatically placed on probation for the remainder of the season.
e) NOTE: In the event that a player or coach should be ejected for fighting, the ejected player or coach will be suspended
indefinitely until the NCFA Commissioner can review the Ejection Report and perform a full investigation into the
altercation.
Reporting Team Name:
Reporter:
Reporter Email Address:
Reporter Phone Number:
TYPE SCHOOL NAME HERE
TYPE YOUR NAME HERE
TYPE YOUR EMAIL HERE
TYPE YOUR PHONE # HERE
Opponent Team Name:
TYPE SCHOOL NAME HERE
Date of Game when ejection occurred:
Scheduled Game Start Time:
Location of Game:
1/1/06
10:00 AM
TYPE HOME TEAM NAME HERE
TYPE FIELD NAME HERE
TYPE FIELD ADDRESS HERE
TYPE FIELD ADDRESS HERE
Referee Contact Information:
TYPE REFEREE NAME HERE
TYPE PLATE REFEREE PHONE # HERE
TYPE REFEREE EMAIL HERE
Type of Ejection (Select One):
Name of Ejected Player/Coach:
COACH
PLAYER
TYPE EJECTED NAME HERE
Did the Ejected player/coach leave the game peacefully?
Reason for Ejection (Check all that Apply):
Description of Ejection Details:
YES
NO
ARGUING AN OFFICIALS CALL/DECISION
EJECTED FOLLOWING A WARNING
UNIFORM OR EQUIPMENT VIOLATION
USE OF FOUL LANGUAGE/BENCH JOCKEYING
INITIATING A FIGHT OR ALTERCATION
PARTICIPATING IN A FIGHT OR ALTERCATION
THREATEN OR PHYSICAL CONTACT WITH A
PLAYER/COACH/OFFICIAL
OTHER
TYPE DETAILS HERE
© 2009 National Club Football Association
850 Ridge Avenue
Suite 301
Pittsburgh, PA 15212
Office: (412) 321-8440
Fax: (412) 321-4088
Additional Relevant Notes (Optional):
TYPE ADDITIONAL NOTES HERE
© 2009 National Club Football Association