Incident Factors: Please CIRCLE all that apply Step 2 If Charge is upheld after a Hearing – Players/Officials Charge 1st 2nd Offence 3rd Offence Offence Misconduct – Disrespect/Disobedience/Other Grade 1 1 round 4 rounds 8 rounds Unacceptable language Equipment abuse Disobedience Disrespect Splashing Any other occurrences determined the reporting official Grade 2 2 rounds 4 rounds 8 rounds All of Grade 1 (depending on circumstances) Attempted contact that may have caused injury if contact had been made Minor contact (no injury) Persistent foul or rough play Continuous disrespect Any other occurrences determined by the reporting official Misconduct Violence Grade – 1 1 round 4 rounds 8 -16 rounds All of Misconduct Disrespect/Disobedience/ Other – (depending on the circumstances) Attempting to kick an opponent Attempting to strike an opponent Unwelcome and deliberate contact to sensitive body part (e.g. female breast, genitals) Any other occurrences determined by the reporting official Grade 2 4 rounds 8 rounds 8-16 rounds All of Grade 1 (depending on circumstances) Kicking an opponent Striking an opponent Persistent foul or rough play Unwelcome and deliberate contact to sensitive body part (e.g. female breast, genitals) Continuous disrespect Any other occurrences determined by the reporting official Brutality No 8 rounds 8-16 rounds 16-32 rounds Grading Assault of Official (including Threat to 1 year - Life Life Assault) No Grading Coaches / Team Officials Charge 1st 2nd Offence 3rd Offence Offence Red Card 2 round 4 rounds 6 rounds In Play Behind Play Interval Pre/Post Game Timing of offence: Contact Type: Kick Elbow Head Butt Punch Attempted Person Injured Yes No Reported person notified and accepts charge? Yes / No /? Contact Area: Above Female breast Genitals Other Context Retaliation Provocation Other shoulder
Step 2 – If Charge is upheld after a Hearing Players/Officials Charge 1st Offence 2nd Offence 3rd Offence Misconduct – Disrespect/Disobedience/Other Grade 1 Unacceptable language Equipment abuse Disobedience Disrespect Splashing Any other occurrences determined the reporting official 1 round 4 rounds 8 rounds Grade 2 All of Grade 1 (depending on circumstances) Attempted contact that may have caused injury if contact had been made Minor contact (no injury) Persistent foul or rough play Continuous disrespect Any other occurrences determined by the reporting official 2 rounds 4 rounds 8 rounds Misconduct – Violence Grade 1 All of Misconduct – Disrespect/Disobedience/ Other (depending on the circumstances) Attempting to kick an opponent Attempting to strike an opponent Unwelcome and deliberate contact to sensitive body part (e.g. female breast, genitals) Any other occurrences determined by the reporting official 1 round 4 rounds 8 -16 rounds Grade 2 All of Grade 1 (depending on circumstances) Kicking an opponent Striking an opponent Persistent foul or rough play Unwelcome and deliberate contact to sensitive body part (e.g. female breast, genitals) Continuous disrespect Any other occurrences determined by the reporting official 4 rounds 8 rounds 8-16 rounds Brutality No Grading 8 rounds 8-16 rounds 16-32 rounds Assault of Official (including Threat to Assault) No Grading 1 year - Life Life Coaches / Team Officials Charge 1st Offence 2nd Offence 3rd Offence Red Card 2 round 4 rounds 6 rounds Incident Factors: Please CIRCLE all that apply Contact Type: Contact Area: Kick Elbow Above shoulder Head Butt Female breast Punch Genitals Attempted Other Person Injured Context Yes No Retaliation Provocation Other Timing of offence: In Play Behind Play Interval Pre/Post Game Reported person notified and accepts charge? Yes / No /?
Report-form-Updated-2017-1-1.docx