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Incident Report
November 2024

Please use this form to report to BCFA. We ask that you complete as much information as possible. We may come back to you to ask for witness statements, or may deem it serious enough to take to EFA.

Name :

Email Address :

Please enter your email address if you would like a response

Role :

-- Select One -- Coach Parent Player Member of the public Other

Date of Incident :

Club Name :

-- Select One -- Academy Soccer YFC & Academy Soccer GirlsAFC BrentwoodAFC LeytonAmbition Football ClubAtletico TrottersAveley United YouthAveley YouthBaddow Spartak FCBarnston FCBasildon Boys & GirlsBasildon TownBenfleet YouthBillericay Town Colts FCBillericay Town GirlsBishop Stortford Community Football ClubBishops Stortford Swifts YouthBlackmore YouthBocas JogabonitoBowers & Pitsea FCBrandon GrovesBrentwood Town & Brentwood Town GirlsBrentwood Youth & Brentwood GirlsBroomfield YouthBuckhurst Hill FCByron Red Star & Byron Red Star GirlsCanvey Island Youth Football ClubCFC Rainham LionsChafford UnitedChelmsford City Youth FCChigwell & Chigwell GirlsColebrook RoyalsCollier Row YouthConcord RangersCorringham Athletic & Corringham Athletic GirlsCorringham CosmosCounty Park Youth & Girls FCDanbury & BicknacreDiamond Youth FCElite Colts & Elite Colts GirlsEmerson ParkEpping Town Youth and GirlsEssex CometsEssex Minors (Hornchurch)Essex RoyalsFC Evolution GirlsFC Redwing & FC Redwing GirlsGalleywood YouthGatcliffe Youth FCGidea Park RangersGrays Athletic Youth & Grays Athletic GirlsGreat Danes & Great Danes GirlsGreat NotleyHannakins Farm & Hannakins Farm GirlsHarold Wood CougarsHashtag United & Hashtag United GirlsHassenbrook FCHatfield Broad Oak YouthHatfield Peverel FCHaver TownHavering Palace YouthHaynes BoroughHerongate AthleticHeybridge Swifts Youth FCHornchurch Urchins GirlsHullbridge SportsHutton & Hutton GirlsInter Cranham YFCIntersports & Intersports GirlsJunior Red Star & Junior Red Star GirlsLakeside & Lakeside GirlsLangley ColtsLeaside ColtsLinford Wanderers & Linford Wanderers GirlsLittle Canfield Stars GirlsLittle Thurrock DynamosLongmeadsLoughton TownLoughton YFCMaldon & Tiptree YouthMaldon SaintsMaltby SocialMillside FCMornington BoysNew Level Youth FCNewhall Rangers & Newhall Rangers GirlsNorth Weald RaidersNotley YFCOngar Juniors & Ongar Juniors GirlsPerry Street GirlsPerry Street YouthPitsea Town YFCRayleigh Town FCRedbridge YouthRippleway AFCRisden WoodSouth East Rush FCSouth Woodham Ferrers Utd & South Woodham Ferrers Utd GirlsSpringfield & Springfield GirlsSt Cleres F.C.Stansted FCStones Athletic & Stones Athletic GirlsSungateThurrock TigersTigers J & Tigers GirlsTilbury Football ClubTop Tekkers YouthUnited AmateursUpminster Park Rovers JFCUpminster Town UnitedValley Green FCWickford Town F.C.Witham TownWoodham Radars & Woodham Radars GirlsWrittle Minors

Team Name :

-- Please choose from the above --

Opposition Team :

-- Choose a team if applicable --

Referee Name :

League Appointed :

Unknown Yes No League Appointed Referee

Respect Barrier :

Unknown Yes No Respect Barrier Used

Supporters Same Side :

Unknown Yes No All Supporters on the same side

Managers Same Side :

Unknown Yes No All Managers on the same side

Time of Incident :

Unknown First Half Second Half Time of Incident

Information :

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