K9U Internal Incident Report
This form is intended to document ANY possible incident that have occurred involving a K9U employee or dog. Be as descriptive as possible.
Name of Person Writing This Report
*
First Name
Last Name
Date of Incident
*
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Month
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Day
Year
Date Picker Icon
Time of Incident
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Minutes
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PM
AM/PM Option
Name of ALL people involved
*
Name of ALL dogs involved
Were there injuries to people or dogs as a result of this incident?
*
Yes
No
Who was injured? Please describe the injuries.
Do you require professional medical care?
Yes
No
Was emergency care provided?
*
Yes
No
N/A
Details of the incident
Please write in your own words how the incident took place, and what YOU personally witnessed. Be as detailed as you can.
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