CT State Referee Program

Forms

Referee Game Reports Forms
USSF Game Report (MS Word)
USSF Game Report Supplemental (MS Word)
4th Official Log
Referee Game Log (MS Word)
CSRP Referee Game Log (MS Excel)

Referee Clinic Forms (use for all clinics)
Referee Clinic Request Form (MS Excel)

Referee Registration Forms
USSF Referee Registration Form (PDF File)

Referee Recertification - Instruction Forms

Retest Form (MS Word)

Recertification Clinic Summary (MS Excel)

Instructions for Incomplete Recertification Requirements (PDF File)

CSRP - USSF Fitness Test Requirements (PDF File)

CSRP - USSF Fitness Test Worksheet (PDF File)

Referee Entry Level - Instruction Forms

Referee Clinic Request Form (MS Excel)

Entry Level Clinic Summary (MS Excel)

Assessment Forms

USSF Assessment Report of Game Officials (MS Word)

USSF Referee Assessment - Feedback Form (MS Word)

USSF Assessment Criteria (MS Word)

USSF Referee Developmental Assessment Form (MS Word)

CSRP Assessment Scoring Guidance (MS Word)

CSRP Referee Assessment - Game Official Information Form (MS Word)

CSRP Field Trainer - Referee Feedback Form
CSRP Field Trainer - Referee Feedback Form (MS Word)

Assigning Forms
Referee Assignor Application Form (MS Word)
Referee Assignor Recertification Instructions

Upgrade Forms
Referee Upgrade Form (MS Word)

Other Forms
CSRP Expense Report (MS Excel)
CSRP Referee Mailing List - Label Request Form (MS Word)
W-9 (Request for Taxpayer Identification Number and Certification) (PDF)

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Connecticut State Referee Program
11 Executive Drive
Farmington, CT 06032
Tel: 860-676-1161
Fax: 860-676-1162
Email: Info@CTReferee.org