Incident Reporting Form

In compliance with County Ordinance 1899-05

Library:
 
Incident Date and Time:
Brief Description:
  Inappropriate behavior
  Inappropriate website access
  Other
 
What brought the incident to your attention?
  Complaint by Patron
  Contacted by Law Enforcement
  Staff Observation
  Other
 
Action Taken:

 
Staff member who dealt with Incident:

Print this form and keep for your records.

This form will be sent to Rebecca Serey, eiNetwork Director.