BC HOCKEY
GAME REPORT FORM
Type of Report
Date of Game
Place of Game
Category:
Home Team
Visiting Team
Identification of Officials
Referee:
Referee:
Linesman:
Linesman:
Phone:
Phone:
Phone:
Phone:
Level
Level
Level
Level
Official who made the call:
Details of incident (one incident per report)
Period of Game:
Time of Period
Indicate to whom and why the penalty was assessed: (provide actual Rule number)
#
of the
team for rule
#
of the
team for rule
#
of the
team for rule
#
of the
team for rule
State what you saw happen, including relevant incidents leading up to and following the penalty
(additional sheets may be used).
Date:
Signature:
Print Name:
Mail game sheets along with the original score sheet. MUST be mailed within 24 hours of incident. Reports are to be
sent to the appropriate person based upon the rule violation as indicated on the reverse side. If in doubt contact your
local Referee-in-Chief or Referee Committee Member immediately.
Part 1
PHYSICAL HARASSMENT AND REFUSING TO START PLAY
Rule 1.13 c)
Rule 9.6 a)b)c)
Rule 10.14
Rule 10.14 e)
Entering Official’s Dressing Room
Physical Abuse / Threaten Official
Refusing to start play
Player or Team official refusing to leave
Send to BC HOCKEY Officer
Part 2
MATCH PENALTIES
Rule 6.4 a)b)
Rule 6.1 a)
Rule 6.1 b)
Rule 6.1 c)
Rule 6.1 d)
Rule 6.1 e)
Rule 6.1 f)
Rule 9.7
Rule 6.5 e)
Rule 9.7
Various
Checking from behind
Deliberate injury or attempt to injure
Head butting
Attempt or Deliberate kick
Grab hair or headgear to punish or injure
Use of facial protector as a weapon
Attempt / Deliberate Butt-end or Spear or Injury by butt-end or spear
Spitting
Head Contact
Spitting
All other infractions warranting a Match Penalty
Send to BC HOCKEY District Director / Divisional Director
Part 3
GROSS MISCONDUCTS
Rule 6.7 d)
Rule 4.7 b)
Rule 3.6 c)
Rule 9.2 f)
Rule 6.1 b)f)
Player / Team Official fighting Team Official
Conduct making Travesty of the game
Removes Helmet to fight
Verbal taunts, insults, intimidation
Head butt, Butt-end or Spear by Team official (No Injury)
Send to BC HOCKEY District Director / Divisional Director
Part 4
GAME MISCONDUCTS
Rule 4.5 c)
Rule 9.2
Rule 6.3 (b)
Rule 6.4
Rule 6.5
Rule 6.7
Rule 8.1 b)
Various
Rule 9.5 i)
Second 10 Minute Misconduct in game
Harassment of Officials & Unsportsmanlike Conduct, Misconduct
Charging (Goaltender within the crease)
Checking From Behind
Head Contact
Roughing / Fighting
Crosscheck above the height of the shoulders
Injury due to Penalized Infraction and all other Game Misconducts
Leaving the Players bench or Penalty Bench
Send to Association / League President or Designate
Part 5
10 MINUTE MISCONDUCTS and MAJOR PENALTIES
Rule 4.5 b)
Rule 9.2 b)
Rule 9.2
10 Minute Misconduct assessed within 10 minutes of game’s conclusion
Persistence in: - Disrespect of Official
- Obscene/Profane/Abusive Language
- Shooting puck out of reach of an Official
Harassment of Officials & Unsportsmanlike Conduct, Misconduct
Send to Association / League President or Designate
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