Incident

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Email^*

Your Radio Zone & Channel

Your Department/Employer^*

Your Title/Role^*

Your Supervisor's Name and Contact Info^*

Narrative/Attachments

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)

Incident Questions

Were there any injuries/illnesses?^*

Was any property damaged?^*

Was there a fire or smoke?^*

Were there any witnesses?^*

Was anyone under 18 involved?^*

Did the incident involve a patron/attendee?^*

Yes No

Would you like to speak with a report writer?^*

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location^*

Specific Location

Medical Details - If more than 1 patient, add additional patient info in the narrative section.

Patient First/Last Name

Patient Age

Patient Chief Complaint (ex: Broken Wrist)

Patient Disposition (ex. transported to hospital)

Property Damage Details - If multiple items damaged, add additional info in the narrative area

Name of Individual Causing Damage

How is the person causing damage associated to the event?

Owner of Damaged Property

Was the owner notified of the damage?

Owner Contact Info

Serial Number/License Plate of Damaged Property

Vehicle Damage Details - If multiple vehicles are damaged, add additional info in the narrative area

Was a festival rented vehicle involved?^*

Yes No

Make of Damaged Vehicle

Model of Damaged Vehicle

License Plate of Damaged Vehicle

Fire Details

Source of Fire/Smoke

Did the fire department respond?

Theft Details

Owner of Stolen Property

Approximate Value of Items

Description of Item(s)

Were there any suspicious events before the theft?

Witness Details - If multiple witnesses, add additional witness info in the narrative section.

Witness Name

Witness Phone

How is the witness associated to the event?

If the witness is a vendor/staff, include their employer/department name.

Event Selection

Regardless of when the incident occurred, select the event for TODAY'S DATE.^*

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Email^*

Your Radio Zone & Channel

Your Department/Employer^*

Your Title/Role^*

Your Supervisor's Name and Contact Info^*

Narrative/Attachments

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)

Incident Questions

Were there any injuries or illnesses as a result of the fire/smoke?^*

Was any property damaged from the fire/smoke?^*

Were there any witnesses?^*

Was anyone under 18 involved?^*

Did the incident involve a patron/attendee?^*

Yes No

Would you like to speak with a report writer?^*

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location^*

Specific Location

Fire/Smoke Details

What was the source of the fire/smoke?^*

Did the fire department respond?^*

Medical Details - If more than 1 patient, add additional patient info in the narrative section.

Patient First/Last Name

Patient Age

Patient Chief Complaint (ex. headache, broken arm, etc.)

Patient Disposition (ex. transported to hospital)

Hospital (if transported)

Property Damage Details - If multiple items damaged, add additional info in the narrative area

Owner of Damaged Property

Was the owner notified of the damage?

Owner's Contact Info

Serial Number/License Plate of Damaged Property

Vehicle Damage Details - If multiple vehicles are damaged, add additional info in the narrative area

Was a festival rented vehicle involved?^*

Yes No

Make of Damaged Vehicle

Model of Damaged Vehicle

License Plate of Damaged Vehicle

Witness Details - If multiple witnesses, add additional witness info in the narrative area

Witness Name

Witness Phone

How was is the witness associated to the event?

If the witness is a vendor/staff, include employers name.

Event Selection

Regardless of when the incident occurred, select the event for TODAY'S DATE.^*

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Email^*

Your Radio Zone & Channel

Your Department/Employer^*

Your Title/Role^*

Your Supervisor's Name and Contact Info^*

Narrative/Attachments

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)

Incident Questions

Was anyone under 18 involved?^*

Were there any witnesses?^*

Was a festival rented vehicle involved?^*

Yes No

Did the incident involve a patron/attendee?^*

Yes No

Would you like to speak with a report writer?^*

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location^*

Specific Location

Medical Details - If more than 1 patient, add additional patient info in the narrative section.

Patient First/Last Name^*

Patient Age^*

Patient Chief Complaint (ex. headache, broken arm, etc.)^*

Patient Disposition (ex. transported to hospital)^*

Hospital (if transported)

Witness Details - If multiple witnesses, add additional witness info in the narrative section.

Witness Name

Witness Phone

How is the witness associated to the event?

If the witness is a vendor/staff, include their department or employer's name.

Event Selection

Regardless of when the incident occurred, select the event for TODAY'S DATE.^*

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Email^*

Your Radio Zone & Channel

Your Department/Employer^*

Your Title/Role^*

Your Supervisor's Name and Contact Info^*

Narrative/Attachments

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)

Incident Questions

Were there any injuries/illnesses?^*

Were there any witnesses?^*

Did the incident involve a patron/attendee?^*

Yes No

Would you like to speak with a report writer?^*

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location^*

Specific Location

Property Damage Details - If multiple items damaged, add additional info in the narrative area

Name of Individual Causing Damage^*

How is the person causing damage associated to the event?^*

Who is the owner of the damaged property?^*

Was the owner notified of the damage?^*

Owner Contact Info

Vehicle Damage Details - If multiple vehicles are damaged, add additional info in the narrative area

Was a festival rented vehicle involved?^*

Yes No

Make of Damaged Vehicle

Model of Damaged Vehicle

License Plate of Damaged Vehicle

Medical Details - If more than 1 patient, add additional patient info in the narrative area

Patient First/Last Name

Patient Age

Patient Chief Complaint (ex. headache, broken arm, etc.)

Patient Disposition (ex. transported to hospital)

Hospital (if transported)

Witness Details - If multiple witnesses, add additional witness info in the narrative section.

Witness Name

Witness Phone

How is the witness associated to the event?

If the witness is a vendor/staff, include their employer/department name.

Event Selection

Regardless of when the incident occurred, select the event for TODAY'S DATE.^*

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Email^*

Your Radio Zone & Channel

Your Department/Employer^*

Your Title/Role^*

Your Supervisor's Name and Contact Info^*

Narrative/Attachments

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)

Incident Questions

Was any property damaged?^*

Were there any witnesses?^*

Was anyone under 18 involved?^*

Did the incident involve a patron/attendee?^*

Yes No

Would you like to speak with a report writer?^*

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location^*

Specific Location

Theft Details - If multiple items are missing, add additional info in the narrative section.

Owner of Stolen Property^*

Approximate Value of Items (USD)^*

Description of Item(s)

Were there any suspicious events prior to the suspected theft?^*

Property Damage Details - If multiple items damaged, add additional info in the narrative section.

Name of Individual Causing Damage

How is the person causing damage associated to the event?

Owner of Damaged Property

Was the owner notified of the damage?

Owner Contact Info

Estimated Cost of Damage (USD)

Witness Details - If multiple witnesses, add additional witness info in the narrative section.

Witness Name

Witness Phone

How is the witness associated to the event?

If the witness is a vendor/staff, include their employer/department name.

Vehicle Theft Details

Was a festival rented vehicle involved?^*

Yes No

Make of Dameged/Stolen Vehicle

Model of Damaged/Stolen Vehicle

License Plate of Damaged/Stolen Vehicle

Event Selection

Regardless of when the incident occurred, select the event for TODAY'S DATE.^*

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Email^*

Your Radio Zone & Channel

Your Department/Employer^*

Your Title/Role^*

Person Reporting's Supervisor^*

Narrative/Attachments

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)^*

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location^*

Specific Location^*

Was a police report taken?^*

Yes No

Police Report #/Agency Taking Report

Select any third parties involved

Third Party Name/Contact Info

Vehicle/Driver Info

Was a festival rented vehicle involved?^*

Yes No

Is the vehicle operational?^*

Yes No

Name of the person who was the driver/caretaker of the vehicle when the incident occurred^*

How is the person driving/caring for vehicle associated to the event?^*

Phone number of the driver/caretaker^*

Who is the owner of the vehicle?^*

Was the owner notified of the damage?^*

Make of Damaged Vehicle^*

Model of Damaged Vehicle^*

Color of Vehicle^*

License Plate of Damaged Vehicle^*

Where is the vehicle currenlty located?^*

Medical Details - If more than 1 patient, add additional patient info in the narrative area

Were there any injuries?^*

Did medical respond?^*

Yes No

Injured Person(s) First/Last Name(s)

Injured Person(s) Phone Number

Patient Chief Complaint (ex. headache, broken arm, etc.)

Patient Disposition (ex. transported to hospital)

Hospital (if transported)

Witness Details - If multiple witnesses, add additional witness info in the narrative section.

Witness Name

Witness Phone

How is the witness associated to the event?

If the witness is a vendor/staff, include their employer/department name.

Event Selection

Regardless of when the incident occurred, select the event for TODAY'S DATE.^*