USAHOCKEY AND NYSAHA FORMS

MATCH PENALTY REPORTING POLICY

All Match Penalties must be reported to the Local Supervisor within 48 hours.
When reporting, the official must complete the NYSAHA Incident Report which must be completed and returned (postmarked), along with the origional scoresheet (no copies), within 48 hours of receipt.
FAILURE TO FOLLOW THIS POLICY MAY RESULT IN THE SUSPENSION OF THE OFFICIAL'S CERTIFICATION.

See procedure and select and fill out one of the match penalty forms listed below

When a Match Penalty is assessed for an alleged PHYSICAL ASSAULT OF AN OFFICIAL (RULE 601 (G) 1 OR 601 (J) 1), you MUST CONTACT the New York State Referee-in-Chief IMMEDIATELY (in addition to reporting it to the Local Supervisor as stated above).

Game Official Responsibilities

1. Advise player's head coach immediately following the assessment of penalty.
2. Upon completion of the game, the official will make notations in the remarks area of score sheet and cite match penalty number as per USA Hockey rule book.
3. Keep the original or first copy of score sheet (white page) for further expedition. (Regardless of what the scorekeeper/coach/league president requests), you must keep the top/first copy to send in to the Local Supervisor.  Do not allow the team/league to keep the copy
4. Contact Section Local Supervisor assigned to area to verbally report incident on the same day penalty is accessed. This report should contain the following information player name, age classification, player's association, location of rink, type of infraction.
5. File a Match Penalty Incident Report via electronic mail (scan filled out form and e-mail) to Section Local Supervisor within 48 hours.
6. Mail a signed copy of the Match Penalty Incident report and the original of first copy of score sheet (white page) to Section Referee in Chief.

• New York State Match Penalty Incident Report Form
  This form, available in both MS Word and PDF formats below, should be completed and returned to the Local Administrative Supervisor of Officials within 48 hours of the game in which a Match Penalty was assessed. Please refer to the NYSAHA Rules page for more information.
  
  

  • New York State Match Penalty Incident Report Form (MS Word Format)
    Download this form, complete it using MS Word, then distribute it via E-mail or regular mail.
    
    
  • New York State Match Penalty Incident Report Form (PDF Format)
    Download this form, print it out, complete it, and distribute via regular mail. It requires the use of the Adobe Acrobat Reader, which is freely available from Adobe Systems Incorporated
    
    
  • New York State Ambulance/Police Incident Report Form (MS Word Format)
    Download this form, complete using MS Word, then distirbute it via E-mail or regular mail.

Please note that most of the above forms are in Adobe PDF format (.pdf extension), and that you will need the Adobe Acrobat Reader in order to view and print them. The Acrobat Reader can be freely downloaded from Adobe Systems Incorporated.

For forms that are in Microsoft Word format (.doc extension), you will need to use Microsoft Word in order to display, fill out, and print them. If you do not have Microsoft Word on your computer, you can also use OpenOffice.org to edit a Word document. OpenOffice.org is a freely available office productivity suite which can read and write Microsoft documents.