Wilkes-Barre HS Form | Ssc Employee Portal

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Incident Report
(Wilkes-Barre High School)

2020 Wolfpack Way, Plains PA 18705

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 FIRST AND LAST NAME)

Name of Victims/Subject/Suspects

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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