Burgettstown Form | Ssc Employee Portal

top of page

SSC Logo_edited.jpg

Home
Incident Reports
Transfer Request
Supervisor Portal
More

Use tab to navigate through the menu items.

Incident Report (Burgettstown)

104 Bavington Road Burgettstown, PA 15021

Please take a moment to fill out the form.

Date (MM/DD/YYYY)

Time (00:00am/pm)

Loation of Incident

Incident Type

If you selected Others

Report prepared by (ENTER YOUR FIRST AND LAST NAME)

Name of Victims/Subject/Suspect

Name of SSCI Officers

Department/Agency

Name of Emergency Personnel (i.e PD. Officer Smith)

What took place (Who, what, where, when, why and how?) PLAESE PUT IN DETAILS WHAT HAPPENED IN 3RD PERSON?

Other Pertinent Information:

Photo

Videos

Upload Photo

Upload supported file (Max 15MB)

Upload Video

Upload supported file (Max 15MB)

Thanks for submitting!

stadesse@sscsecurity.com

©2022 by SSC Employee Portal. Proudly created with Wix.com

bottom of page