Officials Incident Report

Officials may use this form to report incidents at Dioceses of Pittsburgh elementary school athletic events. Incidents may include technical fouls assessed and ejections of spectators, coaches or players. The information is sent to the relevant League Director (Tim King), the Diocesan Athletic Director (Catherine Ann Koller) and the Official Assigner (Tim King) for the league.

Official's Name:
Official's Phone:
Event Date:
 
Event Level:
Select the event level from the drop down list.
Home School/Team:
Select the home school or team from the drop down list. If the home school or team is not in the drop down list include it in the Incident Description.
Visiting School/Team:
Select the visiting school or team from the drop down list. If the visiting school or team is not in the drop down list include it in the Incident Description.
Gym Location (indoor events):
If the gym location is not in the drop down list include it in the Incident Description.
Field Location (outdoor events):
If the field location is not in the drop down list include it in the Incident Description.
Incident Type:
Incident Description:
Describe the incident and make sure to include all relevant details.
If you are not the Official mentioned above and are simply reporting the incident, enter your name and phone number.
Submitters's Name:
Submitters's Phone:
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