Incident Report Contact Information of Injured Person(s) * First Name Last Name Email * Phone * (###) ### #### Address * Type of Incident * Physical Emotional Property Damage Where did the incident occur? Please provide specific areas of the church or property. * Please provide as many specific details as possible i.e. dates, times, individuals involved etc * Witness Contact Information * First Name Last Name Email * Phone * (###) ### #### Witness #2 First Name Last Name Email Phone (###) ### #### Witness #3 First Name Last Name Email Phone (###) ### #### Remarks from injured individual (s) Whom besides the Lead Pastor, Director of Administration & Congregation President should see this report? Incident Report Submitted By: * First Name Last Name Position: * Date * MM DD YYYY Thank you!
