Title Page
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Report number(example: year/month/day/time/region abbreviation)
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Supervisor name:
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Conducted on
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Prepared by
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Location address
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Department division:
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Reports generated
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Park property Name:
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Incident time
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Time you were notified
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Time you arrived to incident site?
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Was there property demage?
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Attach photo
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Describe damage:
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Was a patron hurt or injured? The
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Is the Patrons information attainable?
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Patrons Name
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Patrons Address
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Patrons phone number
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Email address
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Were additional resources used?
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What was used?
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Where the police called?
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What's the report/ call number?
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What's the officers name?
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What Department was called?
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Was the Fire department called?
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Which department was dispatched?
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What is the report/ call numbers?
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Where Paramedics called?
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Did the patron receive medical attention?
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Was the patron taken to the hospital?
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Description of Incident?
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Describe Park location incident took place?
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Action taken?
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Time site was cleared?
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Sign to confirm report:
