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Incident Report (The Legacy Sites)

221 South Barnard, State College PA, 16801

Please take a moment to fill out the form.

Date

Time

Location of incident

Incident type

If you selected Others

Report prepared by (ENTER YOUR FIRST AND LAST NAME)

Name of Victims/Subject/Suspect

Name of the SSCI Officer

Department/Agency

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

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

Other Pertinent Information:

Photo

Videos

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Thanks for submitting!

stadesse@sscsecurity.com

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