| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved. Use only if the incident cannot be classified as any other Type of Incident above. |
| Date of Incident: | 2019-10-05 |
| Time of Incident: | 09:00:00 |
| Location of Incident: | Healdsburg High School |
| Home Team: | Boys 05 White |
| Visiting Team: | Boys 05 Blue |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | Boys 05 White |
| Incident Summary: | Allegation that the referees supplied by Tahuichi were not licensed. |
| Comments: | It has been verified that all 3 referees are licensed for the current year. No action taken. |