Your Name *

Your Email *

Name of League *

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Date of Incident *

Time of Incident *

Home Plate Umpire *

Base Umpire *

Persons Involved *

Batter Number

Ballpark / Diamond *

Inning of Incident

Outs at time of incident

Score at time of incident

Count (Strike/Balls) at time of incident

Incident Details *

In your opinion was this incident: *

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Additional Comments:

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Umpire involved and Partner - Names and Date

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