Officials Payment Issue Form

Name*

Email*

Date of Game*

Location of the Game (Reference what is in Arbiter for the assignment)*

Example:

Enter Team Names (if available)*

Example:

Amount Expected*

Enter the amount you expected to receive.

Amount Received*

Enter the amount that you received as of the time you complete this form.

Additional Information

I am looking for information like the following:

I was shorted $15 for mileage
I contact my partners and they were shorted $15 as well.
I called two games, V & JV, and did not received the JV game fee of $50.
They paid based on 6-minute quarters but they played 7-minute quarters for the MS games.