Laporan Insiden

Incident Report

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Your report will be sent to the secretary of foundation's board of executives, Zakiah (Kiki). If the matter itself concerns the secretary, please write to In-Docs Executive Director (via yuda@in-docs.org).
Name*
How do you wish to be contacted?*

EmailMobile phone
Email*
Mobile phone*
Incident category
Occasion*
When did it happen?*

YearMonthDay
Where did it happen?*
Name of individual(s) involved*
Describe the incident*

as thoroughly as possible0/0
What step(s) do you wish us to take next?*

Conduct investigation and report findingsTake appropriate remedial actionOther
Should be Empty:

Incident Report