Incident Report Form
To report any incidents, issues, or notable occurrences across Newark City Parks.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Incident
*
-
Month
-
Day
Year
Date
Time of Incident
*
Hour Minutes
AM
PM
AM/PM Option
Park Location
*
Harriet Tubman Square
Lincoln Park
Military Park
Mulberry Commons
Riverfront Park
Other
Type of Incident
*
Lost & Found
Public Safety Concern
Maintenance Issue
Medical or Injury
Disruption or Disturbance
Vandalism or Property Damage
Positive Feedback / Shoutout
Other
Description of Incident
Photo Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Would you like someone to follow up with you?
Yes
No
Submit
Should be Empty: