2024 Geelong Post Match Submission Form

1

Your Name* This field is required.

First Name

Last Name

2

Your Email* This field is required.

example@footballvictoria.com.au

3

Fixture Date* This field is required.

Date

4

Your Role* This field is required.

5

Competition Type* This field is required.

Senior Men's & Women's

Junior Boys' and Girls'

6

Senior Men's and Women's Competition* This field is required.

7

Junior Boys' and Girls' Competition* This field is required.

8

Home Team* This field is required.Please ensure the correct team name is submitted.

9

Away Team* This field is required.Please ensure the correct team name is submitted.

10

Upload Match Record/s* This field is required.Type a question

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

11

Best & Fairest Votes - 3 Votes* This field is required.Please submit your votes below, ensuring correct spelling and FA ID.

First Name

Last Name

FFA ID Number

Please Select Club

12

Best & Fairest Votes - 2 Votes* This field is required.Please submit your votes below, ensuring correct spelling and FFA ID.

First Name

Last Name

FFA ID Number

Please Select Club

13

Best & Fairest Votes - 1 Votes* This field is required.Please submit your votes below, ensuring correct spelling and FFA ID.

First Name

Last Name

FFA ID Number

Please Select Club

14

Where there any Red Cards issued during this fixture?* This field is required.

YESNO

15

How many Red Cards were issued during this fixture?* This field is required.

1

2

3

If 4 or more, please contact FV

16

Would you like to complete the necessary Misconduct Report now (online) or complete the paper form at a later date?* This field is required.Misconduct Reports are compulsory. If you do not wish to complete this now, please download the template from RefereeHQ and send completed reports to discipline@footballvictoria.com.au

YESNO

17

Offending Player Details* This field is required.

First Name

Last Name

FFA ID Number

Shirt Number

Please select Club

18

Applicable Offence* This field is required.

R1 - Denial of a clear goal scoring opportunity by deliberately handling the ball

R2 - Denial of a clear goal scoring opportunity by the offence punishable by a free kick

R3 - Serious foul play

R4 - Spitting at an opponent or any other person

R5 - Violent Conduct

R6 - Uses offensive, insulting or abusive language and/or gestures

R7 - Second caution in the same match

19

Incident Details* This field is required.Please complete the following fields.

How many metres was the incident from the ball?

In what minute did the incident occur?

How many metres was the referee from the incident?

If anyone was injured, please specify

20

What Happened?* This field is required.Please use wording from the GDT, quote and use exact language where applicable.

21

Offending Player Details - Second Incident* This field is required.

First Name

Last Name

FFA ID Number

Shirt Number

Please select Club

22

Applicable Offence - Second Incident* This field is required.

R1 - Denial of a clear goal scoring opportunity by deliberately handling the ball

R4 - Spitting at an opponent or any other person

R5 - Violent Conduct

R6 - Uses offensive, insulting or abusive language and/or gestures

R7 - Second caution in the same match

23

Incident Details - Second Incident* This field is required.

How many metres was the incident from the ball?

In what minute did the incident occur?

How many metres was the referee from the incident?

If anyone was injured, please specify

24

What Happened? - Second Incident* This field is required.Please use wording from the GDT, quote and use exact language where applicable.

25

Offending Player Details - Third Incident* This field is required.

First Name

Last Name

FFA ID Number

Shirt Number

Please select Club

26

Applicable Offence - Third Incident* This field is required.

R1 - Denial of a clear goal scoring opportunity by deliberately handling the ball

R2 - Denial of a clear goal scoring opportunity by the offence punishable by a free kick

R3 - Serious foul play

R4 - Spitting at an opponent or any other person

R5 - Violent Conduct

R6 - Uses offensive, insulting or abusive language and/or gestures

R7 - Second caution in the same match

27

Incident Details - Third Incident* This field is required.

How many metres was the incident from the ball?

In what minute did the incident occur?

How many metres was the referee from the incident?

If anyone was injured, please specify

28

What Happened? - Third Incident* This field is required.Please use wording from the GDT, quote and use exact language where applicable.

29

Were there any additional Misconduct incidents you wish to report that were not addressed in the previous screens?* This field is required.ie. Misconduct that was not isolated to an individual or falls outside of the fields as listed above and that is outside the LAWS OF THE GAME. Note that any competition specific incidents such as strip clashes or game abandonment's are not to be included in the following section and will be requested later in the JotForm.

YESNO

30

Would you like to complete the necessary Misconduct Incident Report now (online) or complete the paper form at a later date?* This field is required.Incident Reports are compulsory. If you do not wish to complete this now, please download the template from RefereeHQ and send completed reports to discipline@footballvictoria.com.au

YESNO

31

Please detail the Misconduct incident - quote and use exact words where necessarye.g. throwing of objects onto the playing field or abuse towards the match official after the game

32

Were there any Competition specific incidents you wish to report?* This field is required.ie. Incidents that fall outside of the relevant RULES OF COMPETITION or LAWS OF THE GAME. Note that any competition specific incidents such as strip clashes or game abandonment's should be included in this section.

YESNO

33

Would you like to complete the necessary Competition Incident Report now (online) or complete the paper form at a later date?* This field is required.Incident Reports are compulsory. If you do not wish to complete this now, please download the template from RefereeHQ and send completed reports to Competitions@footballvictoria.com.au

YESNO

34

Please detail the Competitions specific incident - quote the exact words where necessary* This field is required.e.g. Players from the away team were wearing a strip that clashed with home team.

35

Would you like to provide a report regarding the facility and pitch conditions?* This field is required.This is necessary if there are significant concerns. If you do not wish to complete this now, select NO and download the template from RefereeHQ and send completed reports to Competitions@footballvictoria.com.au

YESNO

36

Venue Name?* This field is required.Please select from the drop down below

41

Facility and/or Pitch Comments?* This field is required.Please provide details if the facility DID NOT conform to any of the Laws of the Game or FV Regulations.