St. Matthew's Incident Report
For emergencies, call 911 first. For non-emergencies or when the situation has ended, please complete this form and attach photos if possible. A copy of this report will be sent to your email address for your records.
Should you fill out this form?
YES,
if you answer yes to any of the following:
Was someone put in real or perceived danger?
Was someone materially injured (at least a First Aid kit was needed)?
Was something materially damaged or potentially stolen?
Was a Safekeeper or Officer of the Law involved?
Did someone ask you to please fill out an Incident Report?
Your Full Name
*
Phone Number
*
Email Address
*
Date and Time of Incident (if uncertain, please estimate)
*
Detailed Description of Incident
*
Location of Incident (please be as specific as possible)
*
Name(s) of Other Witness(es)
*
Type of Incident
*
Suspicious Person(s)
Vandalism
Burglary or Theft
Trespassing
Injury (accidental)
Assault (intentional, including threat of assault)
This report is FYI only
Other
Was this reported to an agency?
*
No, not reported
Yes, reported to Austin Police Department
Yes, reported to Travis County Sheriff's Office
Yes, reported to Austin Fire Department / EMS
Other
If reported, add offense report number or other ID numbers
Please upload any related photos or files, including "before" and "after" photos if relevant
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