Touch Judge Report (Red Card) It is imperative that you notify an official of the Northland RRA of the ordering off as soon as possible after the match. Please submit this report to the Northland Rugby Union within 48 hours of the match. Date of DismissalVenueTeam and gradePlayers Name* First Last Playing Position of PlayerPlayers NumberMatch & resultReferees Name*Nature of OffencePlease list applicable Law Numbers(s) and/or short description of the LawProximity to the incidentWas the conduct in question witnessed by any other persons? If so, whom?What were the circumstances in which the player was ordered off?Did the offending conduct appear to be deliberate? If yes, please explain why:Was there any provocation prior to the offending?Was the victim injured in the incident and if so, was he able to continue playing a full part in the game?What effect, if any did the incident have on the outcome of the game?To what extent was the victim (if any) able to anticipate what was about to occur and protect himself in the course of the offending?Did the offending Player show any remorse or contrition at the time or afterwards?Are there any other mitigating or aggravating features of the offending Player’s conduct that you consider are relevant to any penalty that may be imposed on the player?Touch Judge's NameUnionContact PhoneYour Email*Fill this in to get a copy of the report you submitted.