Match Footage Request Form
Fixture Details:
(To be completed by Match Assessor. Please complete in BLOCK CAPITALS)
Fixture: V
Competition:
Date:
Total number of
incidents to be
reviewed:
Timings &
brief description
of incidents:
Match Assessor Name:
Match...
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Match Footage Request Form
Fixture Details:
(To be completed by Match Assessor. Please complete in BLOCK CAPITALS)
Fixture: V
Competition:
Date:
Total number of
incidents to be
reviewed:
Timings &
brief description
of incidents:
Match Assessor Name:
Match footage of the above specified incidents have been requested by the above named Match Assessor, on behalf of The
Football Association, to be submitted to The Football Association by 11:00am the next working day following the above fixture.
Signed (by Match Assessor):
Instructions for clubs - how to submit match footage to The FA:
Match footage of all incidents to be reviewed must be submitted to The Football Association by 11:00am the next
working day following the above fixture.
It is the responsibility of the Home Club to submit match footage to The Football Association.
Failure by a club to provide The Football Association with a copy of the match footage within the relevant time period
may result in disciplinary action.
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