BC Games Incident Report Form

BC Games Intake Report
Why are you making this report?
Name of Person Making the Report
Role of Person Making the Report
Day Report is being made
Time Report in being made
Name of Person Making the Report
Games Role(s) of Person Making the Report

Other
Email of Person Making Report
Phone Number of Person Making Report
Incident involves:
Nature of Incident
Other Details of Incident
Date of Incident
Time of Incident
Location of Incident
Sport(s) of people involved

Other
Incident Occurred During:

Other
Is the person making the report, the victim?
Victim's Name
Victim's Role with the Games

Other
Victim's Contact Number
Victim's Email
My Name
My Role with the Games

Other
My Contact Number
My Email
Name and Contact Information of Witnesses
Were the police or social services contacted?
Response/Info Given to the individual making the report
Other info to pass on
Add a file/files as needed

Cancelof
Should be Empty: