WCBA Umpire Ejection Report Form (Western Counties Baseball)

Print 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_2022_-_Approved

The section dealing with Discipline is found on page 14.

Game Information

Date of Ejection^*

Open the calendar popup.

Division^*
Home Team^*
Visiting Team^*
Diamond / Field^*

Umpire Information

Reporting Umpire's Name^*
Reporting Umpire's Email Address^*

Example: [email protected] Your submission will be sent to this address.
Reporting Umpire's Contact Number^*

Example: ###-###-####
Reporting Umpire's Level of Certification^*
Reporting Umpire's Registration #^*
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^*
Name of Offending Player or Coach^*
Position of Offending Player / Coach
Jersey Number
Circumstances and Reason(s) for Ejection^*

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^*
RoutineOffensiveVery Offensive
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^*

Human Validation

Check The Box ^*