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Form / Computer Incident Advisory Capability / Ejection / Disqualification


CIAC DISQUALIFICATION/EJECTION REPORT Use the form below to submit a disqualification report. Submit a separate report for each person disqualified. Reports should be submitted as soon as possible after the incident (no
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Document Date: 2015-01-03 10:04:54


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MedicalCondition

MS / /

Organization

Person’s School / Reporting Officials Board / Officials Board / /

Position

Assistant Coach / Head Coach / Representative / Player / Official / principal and athletic director / /

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