Request for a Match Official

Club Name*

Name of Person Submitting Form*

First Last

Authorising Persons Club Position*

Contact Phone Number*

Authorising Person Club Email Address*

Opposition Club Name*

Competition*

Division*

Game Venue*

Kick-Off Time*

: HH

MM

Reason for Match Official*

Instructions for Requests for Match Officials

Requests must be submitted no later than seven (7) days prior to proposed date/time of the match. - Requests cannot be guaranteed. - You must provide a detailed report as to why you require a Match Official e.g. previous violent incident. - Please upload any other evidence e.g. GPT determination

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Instructions for Requests for Match Officials

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