Incident

Online Incident Report

Complete the online incident report below. Once submitted, you will receive a summary for your records and a confirmation that the Command Post has received your report. You may be contacted by a report writer to obtain additional information or details.

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Radio Zone & Channel

Incident Questions

Were there any injuries/illnesses?

Was any property damaged?

Was there a fire or smoke?

Were there any witnesses?

Was anyone under 18 involved?

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location Search - Choose the closest location to the incident^*

Specific Location^*

Medical Details - If more than 1 patient, add additional patient info in the narrative section.

Patient First/Last Name

Patient Age

Patient Chief Complaint

In the past 24 hours, has the patient consumed any drugs or alcohol?

Patient Disposition (ex. transported to hospital)

Hospital (if transported)

Property Damage Details - If multiple items damaged, add additional info in the narrative section.

Name of Individual Causing Damage

How is the person causing damage associated to the event?

In the past 24 hours, has the person causing damage consumed any drugs or alcohol?

Owner of Damaged Property Name

Was the owner notified of the damage?

Owner Contact Info

Estimated Cost of Damage (USD)

Fire Details

What was the source of the fire/smoke?

Who is the owner of the source?

What was the presumed ignition cause?

Did the fire department respond?

Fire Department Statement and/or Report Number

Witness Details - If multiple witnesses, add additional witness info in the narrative section.

Witness Name

Witness Phone

How is the witness associated to the event?

If the witness is a vendor/staff, include employers name.

Narrative

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's licence phots of witnesses/persons involved, etc.)

Would you like to speak with a GV report writer?^*

Event Selection

No matter when the incident occurred, select the event for TODAY'S DATE.^*

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Radio Zone & Channel

Incident Questions

Were there any injuries or illnesses as a result of the fire/smoke?^*

Was any property damaged from the fire/smoke?^*

Were there any witnesses?^*

Was anyone under 18 involved?^*

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location Search - Choose the closest location to the incident^*

Specific Location^*

Fire/Smoke Details

What was the source of the fire/smoke?^*

Who is the owner of the source?^*

What was the presumed ignition cause?^*

Did the fire department respond?^*

Fire Department Statement and/or Report Number

Medical Details - If more than 1 patient, add additional patient info in the narrative section.

Patient First/Last Name

Patient Age

Patient Chief Complaint (ex. headache, broken arm, etc.)

In the past 24 hours, has the patient consumed any drugs or alcohol?

Patient Disposition (ex. transported to hospital)

Hospital (if transported)

Property Damage Details - If multiple items damaged, add additional info in the narrative section.

Owner of Damaged Property

Was the owner notified of the damage?

Owner Contact Info

Estimated Cost of Damage (USD)

Witness Details - If multiple witnesses, add additional witness info in the narrative section.

Witness Name

Witness Phone

How was is the witness associated to the event?

If the witness is a vendor/staff, include employers name.

Narrative

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's licence phots of witnesses/persons involved, etc.)

Would you like to speak with a GV report writer?^*

Event Selection

No matter when the incident occurred, select the event for TODAY'S DATE.^*

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Radio Zone & Channel

Incident Questions

Were there any injuries?^*

Were there any witnesses?^*

Was anyone under 18 involved?^*

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location Search - Choose the closest location to the incident^*

Specific Location^*

Property Damage Details - If multiple items damaged, add additional info in the narrative section.

Name of Individual Causing Damage^*

How is the person causing damage associated to the event?^*

In the past 24 hours, has the person causing damage consumed any drugs or alcohol?^*

Who is the owner of the damaged property?^*

Was the owner notified of the damage?^*

Owner Contact Info

Estimated Cost of Damage (USD)^*

Medical Details - If more than 1 patient, add additional patient info in the narrative section.

Patient First/Last Name

Patient Age

Patient Chief Complaint (ex. headache, broken arm, etc.)

In the past 24 hours, has the patient consumed any drugs or alcohol?

Patient Disposition (ex. transported to hospital)

Hospital (if transported)

Witness Details - If multiple witnesses, add additional witness info in the narrative section.

Witness Name

Witness Phone

How is the witness associated to the event?

If the witness is a vendor/staff, include employers name.

Narrative

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's licence phots of witnesses/persons involved, etc.)

Would you like to speak with a GV report writer?^*

Event Selection

No matter when the incident occurred, select the event for TODAY'S DATE.^*

Reporting Party Details

Your Name^*

Your Phone Number^*

Your Radio Zone & Channel

Incident Questions

Was anyone under 18 involved?^*

Were there any witnesses?^*

General Details

Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)^*

Location Search - Choose the closest location to the incident^*

Specific Location^*

Medical Details - If more than 1 patient, add additional patient info in the narrative section.

Patient First/Last Name^*

Patient Age^*

Patient Chief Complaint (ex. headache, broken arm, etc.)^*

In the past 24 hours, has the patient consumed any drugs or alcohol?^*

Patient Disposition (ex. transported to hospital)^*

Hospital (if transported)

Witness Details - If multiple witnesses, add additional witness info in the narrative section.

Witness Name

Witness Phone

How is the witness associated to the event?

If the witness is a vendor/staff, include employers name.

Narrative

Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required^*

Attachments (photos, 3rd party reports, driver's licence phots of witnesses/persons involved, etc.)

Would you like to speak with a GV report writer?^*

Event Selection

No matter when the incident occurred, select the event for TODAY'S DATE.^*