Florida Elite Incident Report

Name*
Title*
Email*
example@example.com
Contact Number*
Affiliate organization
Type Name of Affiliate Organization*
Date*

MonthDayYear
Date
Incident Details
Time*
Location*
Organization Name*
Type Name of Organization Name*
Description of Incident

Provide a detailed description of the incident including:

Who was involved? What happened? When did it happen? Why did it happen?
Were the police called to assist in mitigating this incident?*

YesNo
If yes, Explain:*
Was there police or security presence before the incident took place?*

YesNo
If No, Explain:*
Was there a need for medical attention for anyone involved in the incident?*

YesNo
Please explain:*
Did you notify any of the following people while the incident occurred or once it was over?*
Area Rep Name*
District Rep Name*
FE Board Member Name*
Please be as accurate as possible when providing detailed information. Any false statements in the report could delay our investigation into the incident.

All media responses or statements need to be sent to Dave McCullough via email at dave@floridaelitefootball.com
Describe the incident in as much detail as possible*
Should be Empty:

Incident Details