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Incident Report Form

Use when reporting incidents occurring in the Library.

Download form in Microsoft Word | Download form in Adobe Acrobat Reader (download free Reader)

Person Reporting Incident:
Duty Librarian :
Reported Incident Type:

Theft Illness/Injury
Assault Vandalism
Maintenance Open Door
Alarm Problem Mutilation
Problem Patron

Brief Description of Incident:

Follow-up Actions:

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