Officials Clinic Reconciliation Form

Submission of the Clinic Reconciliation Form by the lead instructor is required to finalize each Officials Clinic. This form must be submitted within 48 hours of the completion of the clinic.


1. The form must be completed in one session. The platform currently does not allow data to be stored, and a form resumed at a later time.

2. In the FORWARD SUBMISSION section at the bottom of the form, the lead instructor may enter his/her email to receive a copy of the submitted form.

3. Upon clicking SUBMIT, the form will be sent directly to Hockey Alberta for review and processing.

Officials Clinic Reconciliation Form

To be submitted within 48 hours of completion of Officials Clinic.

Required Fields *

Clinic and Instructors

Data and Discrepancies

Forward Submission

If you wish to forward this form submission to other related person(s) please enter their email addresses below, separated by commas. (ex:,