Referee Match Reporting Form

Match Date

Type of Match

Describe 'Other'

League Match or Friendly

Friendly
League

Home Team

Home Team Score

Home Team Number of Tries

Away Team

Away Team Score

Away Team Number of Tries

Match Information

Venue/Name of Facility or Pitch

Scheduled Kick Off Time

Actual Kick Off

When were you contacted by the home team to confirm your appointment and the match details?

Field Marked Properly?

Yes
No

Goal Post Pads Installed?

Yes
No

Field Flags Installed Properly?

Yes
No

Sideline Ropes Installed Properly?

Yes
No

Comments on Field Set up Issues

Did you receive a completed Match Roster from the Home Team?

Yes
No

Did you receive a completed Match Roster from the Visiting Team?

Yes
No

Did you observe the teams reviewing each other’s match rosters?

Yes
No

Were any of the match details changed after the confirmation? Please describe them here.

Who was the Match Organizer for this match?

Describe 'Other'

Comments or Notes on the Match

Referee Information

Name of Referee

Email Address

HOARFU Referee?

Yes
No

Per Diem

Yes
No

Name of Assistant Ref #1

Per Diem?

Yes
No

Name of Assistant Ref #2

Per Diem?

Yes
No

Name of Assessor/Evaluator

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