Mackin Elementary School | Ssc Employee Portal

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Incident Report
(Mackin Elementary School)

13 Hillard St Wilkes-Barre, PA 18702

Please take a moment to fill out the form.

Date (MM/DD/YYYY)

Time (00:00am/pm)

Location of incident

Incident Type

If you selected Others

Report prepared by (ENTER FIRST AND LAST NAME)

Name of Victims/Subject/Suspects

Name od the SSCI Officers

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 IN3RD PERSON?

Other Pertinent Information:

Photo

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Thanks for submitting!

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