SCBOWBO Incident Report

Note: We need to document any unusual incident(s) that occur while servicing our assigned basketball games.

Unusual Situations: (circle one)

Game Management Behavior
Coach Behavior
Player Behavior
Spectator Behavior
Partner Behavior
Injury
Other (please explain):

Date of Incident: ____________________________________________

Home Team: ___________________________________ Visiting Team: _________________________________

Location: ____________________________________

Witness Name: ________________________________________________

Witness Address: ______________________________________________

Witness Phone Number: ____________________________________

Description of Incident: _______________________________________________________________________

_________________________________________________________________________________________________

Name of Official Submitting Report: ________________________________________________

Signature: ______________________________________

Date: ___________________________________________

NOTE: This report needs to be submitted to your Assigning Secretary within 24 hours of the described incident. Be sure to only state the specific facts pertaining to the incident. Your Executive Board will review and address the reported incident at the next scheduled Board Meeting. The purpose of this report is to communicate incidents to the board. When applicable, the board will try to use the information gained from these reports to eliminate re-occurrence of unproductive situations towards officials in the future.