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Kentuckiana Football Officials' Association

Disqualification Form

Reporting Official*

Reporting Official Email Address*

Reporting Official Contact Number*

Other Officials*

Date of Game*

Time of Game

League*

Team*

Name of DQ'd Player or Non Player*

Reason for Disqualification*

FightingSpittingUnsportsmanlike ConductOther

Please Describe the Incident*

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