This form will be used by USA Hockey game officials to document all game-related incidents that result in the assessment of one or more Match penalties for a violation of Rule 601 (f, 1) "Physical Assault On A Game Official" to one or more players, in a USA Hockey sanctioned event. The Southeastern District policy and procedures for physical assaults on Officials contains the criteria for reporting assault incidents.
Use a single form to record all penalties assessed during a single stoppage in play. These include Minor, Major, Misconduct or Game Misconduct penalties that lead up to or otherwise relate to the Match penalty (s). Use a separate form for each separate incident (stoppage of play).
The Referee assessing the penalty is responsible for completing the Game Report. All other on ice officials shall file a report with their version of the incident.
Completed Game Reports involving Physical Assault On A Game Official must be received by the local USA Hockey Supervisor of Officials within 24 hours of the incident. Use of this form on the Southeastern District website does not preclude a telephone call to the USA Hockey Supervisor of Officials.
You must be a registered Official in the Southeastern District in order to submit an assault report. Please log in by clicking the Login|Register link in the upper right on this page. If you do not have an account on the system, you will be able to create an account on the login page.