Professional Combative Sport Official (Referee, Judge or Timekeeper)
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Application/Code of Conduct

Read the instructions carefully before completing the application. Incomplete applications will be returned, delaying licensure. Any omission, inaccuracy or failure to make full disclosure in an application or supporting documentation may be deemed sufficient reason to deny a license, or, if a license is issued could result in the suspension or revocation of a license.

For license, fee and term schedule of the New York State Athletic Commission, please click here.

*PLEASE REVIEW The Official’s Code of Conduct.*

Checklist

Attach the following documentation to your application:

[  ]    Copy of an unexpired government issued photo ID – NOT REQUIRED FOR RENEWAL
[  ]    Proof of your training and experience – NOT REQUIRED FOR RENEWAL
[  ]    Combative sport resume and list of references – NOT REQUIRED FOR RENEWAL
[  ]    Documentation supporting your “YES” response(s) to the Questions in the “Background Information” and “Financial Information” sections of this application
[  ]    Medical Information Release Form (for Referee and Judge applicants) 
[  ]    HIPAA Release Form (for Referee and Judge applicants) 
[  ]    Medical Test results as required below

Boxing Officials License Fees:

[  ]    $50.00 Boxing Referee or Judge License application fee (paid by check or money order)
[  ]    $10.00 Boxing Timekeeper License application fee (paid by check or money order) 
[  ]    A Referee, Judge or Timekeeper License for the sport of boxing is valid until the September 30th following the date the license is issued.

Mixed Martial Arts Officials License Fees:

[  ]    $100.00 MMA Referee or Judge License application fee (paid by check or money order) 
[  ]    $40.00 Mixed Martial Arts Timekeeper License application fee (paid by check or money order)
[  ]    A Referee, Judge or Timekeeper License for the sport of mixed martial arts is valid for one year from the date the license is issued.

What medical test results are required to be licensed? Do not submit results of medical tests which are not required. The following medical test results with test dates are required:

[  ]    Completed History and Physical Examination Record for License as a Judge or Referee completed within 1 year (for Referee and Judge applicants)
[  ]    Dilated eye exam performed by an optometrist or ophthalmologist completed within 1 year (for Referee and Judge applicants)
[  ]    12-Lead EKG completed within 1 year (for Referee applicants)
[  ]    Hepatitis B Surface Antigen – Dated within 1 year (for Referee applicants)
[  ]    Hepatitis C Antibody – Dated within 1 year (for Referee applicants)
[  ]    HIV – Dated within 1 year (for Referee applicants) 
What documentation proves my training and experience as a Referee, Judge or Timekeeper? 
[  ]    Letter of reference from any amateur sanctioning organization and athletic commission overseeing the event(s) for which your experience was gained
[  ]    Association of Boxing Commissions approved training course completion certificate(s) for Referee, Judge or Timekeeper
[  ]    Combative sport resume and list of references
[  ]    Neurological seminar completion certificate(s) or proof of experience and/or training in recognizing detrimental neurological symptoms (for Referee applicants)

What are the experience requirements for a new Combative Sport Referee, Judge or Timekeeper License? 

[  ]    New Timekeeper License applicants must prove proficiency in officially sanctioned amateur or professional Combative Sport timekeeping or have an ABC approved Timekeeper Training Course Completion Certificate. 
[  ]    New Boxing Referee or Judge License applicants must have a minimum of 400 rounds of experience and new Mixed Martial Arts Referee or Judge License applicants must have a minimum of 200 rounds of experience in any combination of officially sanctioned amateur or professional matches. 
[  ]    New Referee and Judge License applicants must also have an ABC approved Referee or Judge Training Course Completion Certificate. 
[  ]    To prove your experience, you must provide at least one letter of reference from each amateur sanctioning organization or athletic commission overseeing the events(s).
Do I have to pass an exam or be interviewed by the New York State Athletic Commission to become licensed? 
[  ]    You may be required to pass an exam or be interviewed by New York State Athletic Commission representatives based on the experience you report.