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MARTINGROVE UMPIRES INCIDENT REPORT

Please complete this form to report protests, ejections, etc. All field items are required.

* Plate Umpire:

* Base Umpire:

* Person Involved (Home):

* Person Involved (Visitor):

GAME INFORMATION

* Date of Game:

* Visiting Team:

* Home Team:

* Inning:

* Batter #:

* Count:

* Outs:

* Visitors Score:

* Home Score:

RUNNERS ON BASE

R1

R2

R3

INCIDENT REPORT

* In your opinion was this incident...:

Routine

Offensive

Violent

Too Prolonged

* Was a warning issued?:

Yes

No

* Other Comments:

* Umpire Involved & OBA#:

* Reporter's Email:

* Reporter's Phone:

* Date:

* Partner & OBA#:

* Date:

Double check that all fields are complete before submittal.

* indicates required fields

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