| Type of Incident: | Referee |
| Date of Incident: | 2023-04-01 |
| Time of Incident: | 11:40:00 |
| Location of Incident: | James Lick High School (stadium), San Jose |
| Home Team: | Silicon Valley Eagles Youth Soccer |
| Visiting Team: | Silicon Valley Eagles Youth Soccer |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | Silicon Valley Eagles Youth Soccer |
| Incident Summary: | Appeal of the send-off and suspension of the player and coach. |
| Comments: | The PAD Committee reviewed the written appeal and video of this match and upheld the suspensions. No action taken. |