Clemente Middle School | Ssc Employee Portal

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Incident Report
(Roberto Clemente Middle School)

136 S. 4th St. Allentown, PA 18102

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 preapred 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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