WCBA Umpire Ejection Report Form (Western Counties Baseball)

WCBA Umpire Ejection Report Form

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

You can find a copy of the Western Counties Baseball Association (WCBA) Constitution here:

Western_Counties_Baseball_Association_Constitution_2023

The section dealing with Discipline is found on page 15.

Game Information

Date of Ejection^*

Required

Division^*

Required

Home Team^*

Required

Visiting Team^*

Required

Diamond / Field^*

Required

Umpire Information

Reporting Umpire's Name^*

Required

Reporting Umpire's Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Reporting Umpire's Contact Number^*

Required

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

Reporting Umpire's Level of Certification^*

Required

Reporting Umpire's Registration #^*

Required

Umpire's Partner Name

If known

Partner's Contact Information

If known

Partner's Level of Certification

If known

Partner's Certification #

If known

Ejection / Reporting Information

Organization Associated with Ejected Individual^*

Required

Name of Offending Player or Coach^*

Required

Position of Offending Player / Coach

Jersey Number

Circumstances and Reason(s) for Ejection^*

Required

Provide a 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

Please provide any additional information that you believe should be reported.

Anything else you wish to add?

If you have any other materials such as witness statements or photos, they can be uploaded here

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 4. Maximum File Size: 4MB.

Upon submitting this report, a copy will be sent to the WCBA Umpire In Chief, secretary and other staff who will review this report. You will also receive a copy of this report to the email address that you provided.

This report was completed to the best of my recollection^*