| 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: | 2023-10-15 |
| Time of Incident: | 12:45:00 |
| Location of Incident: | Promontory |
| Home Team: | El Dorado Hills Soccer Club EDHSC 06/05B ECNL-RL |
| Visiting Team: | FC Chico United FC RED |
| Age Group and Gender: | U19B |
| Team Affiliation of Individual Committing Incident: | El Dorado Hills Soccer Club EDHSC 06/05B ECNL-RL |
| Incident Summary: | 3 players were not listed on the game card but had laminated passes. |
| Comments: | The referee should have required that the players be shown on an electronic game card and then written in by the referee. |