LA County Fair Incident Report Form

Incident Report Form

for LA County Fair Only
Date and Time of The Incident

MonthDayYear
Date
Hour MinutesAM/PM Option
You, The CEF Fair Worker's Name

First NameLast Name
Your Email
example@example.com
Your Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Child's Name

First NameLast Name
Parent's Name

First NameLast Name
Parent's Email
example@example.com
Parent's Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Child's Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Detailed description of the suspected incident or issue
File Upload

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