CIF-SS Water Polo Incident Report Online Form
NOTE: REPORTER MUST PHONE THE CIF LIAISON OF THE OFFENDING SCHOOL'S(') AREA BY 9PM ON THE DAY OF THE INCIDENT.
THE CONTENTS OF THIS FORM WILL GO TO THE SCAF AREA PRESIDENTS.
THE AREA PRESIDENT OF THE REPORTING REFEREE SHALL VERIFY AND CONFIRM ANY MISSING INFORMATION, THEN FORWARD THE INFORMATION TO CIF-SS VIA THE LIAISON OF THE OFFENDING SCHOOL. THE AREA PRESIDENT SHALL EMAIL SCAFBOARD@SCAFWP.ORG AFTER THE INFORMATION HAS BEEN SUBMITTED TO CIF-SS VIA THE CIF LIAISON OF THE OFFENDING SCHOOL.
***REQUIRED FIELDS; Type "N/A" if a Required Field Does Not Apply...

This is a report from a CIF-SS High School Competition Where the Following Was Called:
(you must select one):*** SELECT ONE Game Disqualification (no call to liaison required) GAME EJECTION (call to liaison required) RED CARD (to coach or player on bench; call to liaison required) BRUTALITY (call to liaison required) Information/Record Only (no call to liaison required)
Click Here for Water Polo Application of CIF Sportsmanship Policy...

***Date of Report:    ***Date of Incident:
***Time of Incident, Including Period and Time Remaining in Game:
***Reported By (Name): ***Reporter's Email:
***Reporter's Phone#:    ***Reporter is a...(Select One): SELECT ONE REFEREE COACH PLAYER SPECTATOR

***Event:    ***Location:
***White Team School:***Dark Team School:

OFFENDING PERSON(S) INVOLVED:
***NAME: ***ENTITY: SELECT ONE PLAYER COACH TEAM OFFICIAL SPECTATOR REFEREE ***SCHOOL:
NAME: ENTITY: SELECT ONE PLAYER COACH TEAM OFFICIAL SPECTATOR REFEREE SCHOOL:
NAME: ENTITY: SELECT ONE REFEREE PLAYER COACH TEAM OFFICIAL SCHOOL:
NAME: ENTITY: SELECT ONE PLAYER COACH TEAM OFFICIAL SPECTATOR REFEREE SCHOOL:

WITNESSES (IF ANY):
NAME: PHONE#:
NAME: PHONE#:
NAME: PHONE#:

***DESCRIBE INCIDENT: (Please include what happened, and if appropriate, who did what from which school,  to whom whatever was committed from which school, the events leading up to, what happened after, which rule was applied, any injuries sustained and to whom, any police or paramedic involvement, and whatever else you deem appropriate.)

NOTE: YOUR IP ADDRESS IS RECORDED WHEN YOU CLICK SUBMIT. SEVERE LEGAL REPERCUSSIONS SHALL ARISE FOR FALSE SUBMISSIONS.
***REQUIRED FIELDS; Type "N/A' if a Required Field Does Not Apply...

Click here for liaison roster...
***LIAISON CONTACT INFO: PLEASE ENTER THE NAME, PHONE#, DATE, AND TIME OF THE CIF LIAISON THAT YOU HAVE CONTACTED;
IF YOU HAVE SELECTED "GAME DISQUALIFICATION" OR "INFORMATION/RECORD ONLY" FOR THIS TYPE OF INCIDENT, THEN JUST TYPE "N/A":