WOBA Umpire Ejection Report Form (Western Ontario Baseball Association)

WOBA Umpire Ejection Report Form

This form is to be used by umpires for ejections from WOBA league games and league tournaments. Please complete within 48 hours of the ejection. This form will be automatically submitted to the WOBA Umpire in Chief and the WOBA Secretary as per WOBA requirements.

Game Information

Game Date^*

Required

Game Number

Provide game number if available

Date of Ejection^*

Required

Division^*

Required

Home Team^*

Required

Visiting Team^*

Required

Umpire Information

Reporting Umpire's Name^*

Required

Reporting Umpire's Email Address^*

Required

Example [email protected]. You will receive a copy of your submission

Reporting Umpire's Contact Phone Number^*

Required

Example: ###-###-####

Reporting Umpire's Level of Certification^*

Required

Reporting Umpire's Registration Number^*

Required

If reporting umpire is non-OBA carded or a volunteer, please enter 000

Umpire's Partner's Name^*

Required

Partner's contact information (if available)

Partner's Level of Certification

Partner's Registration Number

Ejection/Reporting Information

Name of Offending Player/Coach^*

Required

Team of Offending person^*

Required

Position of Offending Player/Coach

Jersey Number

Circumstances and Reason(s) for Ejection^*

Required

Provide detailed description stating players involved, inning of occurrence and action taken.

In YOUR opinion, under the circumstances the conduct of the Player or Coach was^*

Routine
Offensive
Very Offensive

Required

check one

Additional Information

Anything else you wish to add?

Please provide any additional information that you believe should be reported