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Umpire Ejection Form

This Report Involves:

Player Ejection During Game

Incident Prior to/after game

* Umpire Name:

Umpires Association:

I was Working:

Plate

Bases

Email Address:

Phone Number:

Partners Name:

* Game Date:

Game Location:

Were warnings issued before ejection?:

Yes

No

* Ejected players Name and Jersey Number:

Ejected Players Team:

If more than one player, list here:

Ejection involved the following:

In my opinion, the offense was::

Provide Detailed Comments Here::

* indicates required fields

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Umpire Ejection Form