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Ethical Grievance Form

(for umpires only)


  • You do NOT need to fill out Local Board Chair, Super Region Chair or Region.
  • Do not worry about the paragraph at the bottom of the page concerning where to send the form, just use the instructions supplied here.
  • If you have the Game Number from Arbiter, please include it along with teams involved under Event.
  • Please be as thorough and specific as possible when describing the incident.



  • Email form to Dirk Schoonmaker at 
  • Phone call or text to 530-386-3049 immediately as a follow up to let him know you have sent it.
  • If you do not get a confirmation from Dirk Schoonmaker within 24 hours, you will need to send it to:
    • ​Tyrone Koen, . Similarly, call or text Tyrone at 916-996-6471 immediately as a follow up


The Grievance Committee will try to review within 3 days. The Complainant will receive a response within 10 days from the Committee.

See Article IV of the NorCal Chapter of US Lacrosse, Inc. Umpire Committee Policies and Guidelinesfor further information.