Lost Call Report
This report is to be completed immediately upon having a call that was lost, turned down, or given away.
Dispatcher Name
*
First Name
Last Name
Caller Name
*
First Name
Last Name
Date of Call
*
-
Month
-
Day
Year
Date
Time of call
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Was Supervisor Notified?
*
Yes
No
Name of Supervisor Notified
*
First Name
Last Name
Location of call
*
Why was this Call Lost/Turned down? Explain...
*
Submit
Should be Empty: