Claysburg Kimmel Elementary School | Ssc Employee Portal

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Incident Report
(Claysburg Kimmel
Elementary School)

240 CK Elementary Drive Claysburg, PA 16625

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

Reported prepared by (ENTER YOUR FIRST AND LAST NAME)

Name of Victims/Subject/Suspect

Name of 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 IN 3RD PERSON?

Other Pertinent Information:

Photo

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Thanks for submitting!

stadesse@sscsecurity.com

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