Forms
Forms for referees, assessors, instructors and assignors may be downloaded from this web page. Reference materials—including the Laws of the Game, lesson plans and manuals—may be found in the Library.
Registration Forms
- USSF Registration has moved online beginning with 2007 registration renewals. Visit CNRA.net for details.
- National Candidate Form (PDF)
- For Referees who meet the criteria and wish to declare National Candidacy.
- AYSO/USSF Cross-certification Form (PDF)
- For AYSO Referees who want to become certified as USSF Referees. See form for complete instructions and requirements.
Referee Forms and Game Reports
- District 2 Referee Evaluation Form (PDF)
- Referees should download and print two copies of this form, and hand one copy to each coach before the start of the game. This form should be used only for games played within District 2.
- CYSAN Send Off Report (web-based)
- This web-based form validates the data submitted by the referee. The referee and appropriate authority, if available, receive an email with the official CYSAN Send Off Report attached as a PDF, but pre-filled with all the data submitted. The attached PDF can be saved, printed and mailed with the player's or coach's card to the appropriate authority.
- CYSAN Send Off Report (PDF)
- The official report to use for reporting misconduct in CYSAN (youth) games. Can be filled out on a computer and printed. The only drawback is that the data you enter cannot be saved to your computer. Courtesy of Henrique Martins.
- CSAN Send Off Report (PDF)
- (Courtesy of Greg Dunlap.) For reporting send offs (red cards) within 24 hours for all amateur leagues in California North. Can be filled out on a computer and printed. The only drawback is that the data you enter cannot be saved to your computer.
- USSF Referee Game Report and Supplemental Report (Word)
- For reporting a summary of the match, plus misconduct and unusual incidents. Reports can be saved electronically.
- USSF Referee Game Report and Supplemental Report (PDF)
- Same as above, but can be filled out on a computer and printed. The only drawback is that the data you enter cannot be saved to your computer.
- 4th Official Log (PDF)
- 4th Official Log (Word)
- USSF Substitute Pass (PDF)
- USSF Substitute Pass (Word)
- SYL Substitute Pass (PDF)
- SYL Substitute Pass (Word)
Assessor
- Report of Assessment of Game Officials (updated for 2006) (Word)
- For reporting the performance of officials on matches to the appropriate authorities.
- Assessor Feedback to Game Officials (updated for 2006) (Word)
- For providing feedback to the officials.
- Assessment Criteria (PDF)
- Guidance for evaluating officials, and how to report it on the new assessment form.
Instructor
Forms for Use at Clinics
- Physical Fitness and Written Examination Results Form (Microsoft Excel)
- Certificate for recording testing results for referee renewal and upgrade.
- Written Test Answer Sheet Form (Microsoft Excel)
- For referees taking multiple-choice written tests for renewal and upgrade.
- Clinic Feedback Form (Microsoft Word)
- For students to provide written feedback to Instructors about the instruction they have received in a clinic. Instructors use feedback to improve their skills and methods.
- New Referee Welcome Letter (Microsoft Word)
- For distribution to new referees at the end of Entry Level Referee Clinics. Sample, modify for your needs.
Clinic Administration Tools
- Referee Clinic Coordination (Microsoft Word)
- Outline of responsibilities of League, DDI and Referee Candidates. Sample.
- Clinic and Book Request Form (Microsoft Word)
- The organization requesting a clinic completes this form, then sends it to the DDI for processing. Sample.
- Referee Clinic Roster (PDF)
- Lead Clinic Instructor submits this roster with referee checks and referee registration forms to State Director of Instruction. Modified from the CNRA original to include email address. Generated from a FileMaker Pro database that also tracks physical fitness and written testing results, and features email list management. Contact web@stevepiercy.com for more information on the database.