Winter 2026 Grading Incident Report Form

Warragul Basketball Association

Section 1 of 12 Report Identity

Submitted By * Required.

Role * Required.

Submission Date & Time

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Game Finder Find Your Game

📋 Use the dropdowns to locate the game. Each selection narrows the next field automatically.

Competition *

Grading Week *

Day *

Venue *

Age Group *

Court *

Game Time *

✓ Game Located

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Section 2 of 12 Match Details

Home Team

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Away Team

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Time of Incident *

First half Half-time Second half After game

Required.

Approximate Game Clock at Incident

Was the Game Completed? *

Yes No

Required.

If No — Explain Why

Section 3 of 12 Foul Classification

⚠️ This is the most important section. Select the foul type carefully — this determines what Association Admin will action.

Section 4 of 12 Junior Referee Trigger

📋 Conduct directed at a junior / green whistle / green lanyard referee carries increased consequences.

Was the conduct directed at a junior or green whistle / lanyard referee? *

Yes No

Required.

Referee Name

Age Category

Junior / Under 18 Adult / 18+ Unknown

Section 5 of 12 Person Reported

📋 One submission per incident. If multiple individuals were involved, submit a separate report for each.

Section 6 of 12 Behaviour Details

Section 7 of 12 Immediate Outcome

Section 8 of 12 PlayHQ Reconciliation

Was a Warning Card Issued? *

Yes No

Required.

To Which Team Captain?

Was the Spectator Warned Directly Instead? *

Yes No

Required.

Did Behaviour Continue After Warning? *

Yes No

Required.

Was a Bench Technical Recorded in PlayHQ? *

Yes No

Required.

Section 10 of 12 Witnesses & Evidence

Other Referee (if present)

GDO (if different to submitter)

Scorebench Witnesses

Team Captain Spoken To

Supporting Evidence (optional)

Attach a photo, screenshot or scan of any relevant evidence. JPG, PNG or PDF. Max 10 MB.

📎

Choose File

or drag & drop here

JPG · PNG · PDF · max 10 MB

✓

Other Evidence Notes (optional)

Section 11 of 12 Additional Notes

Any Other Information

Anything relevant that doesn't fit the fields above.

Section 12 of 12 Declaration

I confirm this report is accurate to the best of my knowledge and represents a truthful account of the incident as I observed it. You must confirm this declaration.

I understand this report will be used by Association Administration for conduct tracking and any suspension notice issuing. My role as GDO/Referee ends at submission — all further action is handled by HQ. You must confirm this declaration.

Full Name * Required.

This report is confidential and will be received directly by Warragul Basketball Association Administration.

✓

Report Submitted

Your incident report for this game has been received by Association Administration.

Your responsibility as the reporting official ends here. HQ will follow up on all suspension, investigation, and notification matters as required.

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