| 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: | 2023-04-02 |
| Time of Incident: | 18:30:00 |
| Location of Incident: | Horse Creek Soccer Complex A |
| Home Team: | Vacaville United SC 05G |
| Visiting Team: | Elk Grove 05G Platinum 1 |
| Age Group and Gender: | U19G |
| Team Affiliation of Individual Committing Incident: | Elk Grove 05G Platinum 1 |
| Incident Summary: | Allegation of referee assault by a player. |
| Comments: | The player has been suspended indefinitely pending a hearing and decision by USClub Soccer. |