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Non-Staff Incident Report

  1. Incident Report (Internal Non-Staff)
  2. Incident Details
  3. Incident Type*
  4. Did Staff Member Witness the Incident?*
  5. Please be specific but only report facts.
  6. Patron Information
  7. Gender
  8. Police/EMS
  9. Was a police report written?*
  10. Was EMS involved?*
  11. Did patron accept/decline transportation to a medical facility?*
  12. If declined, did the patron return to activity?
  13. Incident Documentation
  14. Leave This Blank: