Empire Amateur Hockey Conference  

Officiating Evaluation Form

Form to collect feedback on officials throughout the season

To be used Team Officials or the Empire Board only. All comments and evaluations MUST be discussed with the Head Coach BEFORE this evaluation is completed. Only the Head Coach will be contacted about any feedback. Any feedback not discussed with the Head Coach will be ignored.
Full Name is required
Phone # is required
Email is required
What organization does your team belong to?
Head Coach, Assistant Coach, Manager or Board Member
Full Name is required. Enter HC if this is the HC
# of years of coaching experience
Scrimmage, League Game, Tournament or Playoff Game
How old are the players?
Is your team playing at the Red White or Blue Level. In divisions with one one level, please select WHITE
Filling in this field accurately will allow the supervisors who see the data to figure which refs were working the game.
Filling in this field accurately will allow the supervisors who see the data to figure which refs were working the game.
Filling in this field accurately will allow the supervisors who see the data to figure which refs were working the game.
Identify if your team was home or away
Identify the score by identifying Home X Away Y
Identify the # of penalties on the Home Team
Identify the # of penalties on the Away Team
Name if readable. Supervisors can look this up if rink/time/date are correct
Did this referee understand and explain the rules
Was the referee consistent thruout the game and with his/her partner?
Did the referee communicate with players and/or coaches? REMINDER: There is NO USA Hockey RULE or Policy that says a referee has to explain any call to teams or coaches.
Did the referee work to maintain control of the game?
Overall assessment
Name if readable. Supervisors can look this up if rink/time/date are correct. RWB 1/2 Ice games should say NA for Ref #2 Name and select AVERAGE for the following questions.
Did this referee understand and explain the rules
Was the referee consistent thruout the game and with his/her partner?
Did the referee communicate with players and/or coaches? REMINDER: There is NO USA Hockey RULE or Policy that says a referee has to explain any call to teams or coaches.
Did the referee work to maintain control of the game?
Overall assessment
Any other Comments. Rants will not be responded to and may be referred to your organization.
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