Model for Ref Abuse Complaint

If Ref abuse it's prooved, the ref could lose his status, and even get kicked if it's overeacted by him! Think well before doing it! You may be wrong! Read rules first and see if it was or wasn't ref abuse.
Model for complaint:

Name of referee.
Answer:
Date of abuse.
Answer:
Demo Or Screenshot, prooving ref abuse.
Answer:
The referee may have done it right, why do you think it's abuse?
Answer:
Is this the first time he abuses as referee?
Answer: