FORM E – REFEREE REPORT ON MATCHES CALLED OFF
Forms are available in electronic format from the NZRU
Team A _____________________________ Team B _______________________________
Venue ______________________________ Date _________________________________
Period of the match when called off
1st Half
2nd Half
Elapsed time in half ___________________
Score at that time _____________________ pts ________________ pts _______________
What were the circumstances in which the match was called off?
_________________________________________________________________________
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_________________________________________________________________________
_________________________________________________________________________
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What were the examples of the persistent or serious Foul Play or Misconduct that led to the
match being called off and who committed these offences?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Were one or both teams responsible for the match being called off (give details)?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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REFEREE’S NAME ___________________________ UNION ___________________________
REFEREE’S SIGNATURE ______________________ CONTACT PHONE ___________________
REPORT TO BE LODGED WITH THE PROVINCIAL UNION WHERE THE MATCH WAS
PLAYED WITHIN 48 HOURS OF THE MATCH