Incident Report

Please fill out all fields below. Incident/Accident Reports must be submitted immediately following a church service

Date of Incident

Names of Persons Involved

Officials Notified

Individuals Present or Witnesses of the Incident/Accident (separate by commas)

Description of Incident (include what led up to the event, what interventions were used, who was contacted, description of person(s) involved, including make/model of vehicle(s), license plate(s), name(s), description of person(s).

Result of incident (How was the incident resolved?)

Upload Image Down Below

Upload File