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Incident Report

Help us make the library a more user-friendly and safe place for you, your family, and  neighbors.  Use this form to alert us to any situation or problem that we need to know  and do something  about.  We'll keep all your input confidential. If you'd  like, we'll  contact you via phone or e-mail  and let you know how the situation is being handled/addressed.

Name (first, last):

Phone:

E-mail

Type of incident:
Disruptive behavior  
Harassment   
Accident/injury       
Theft   
Vandalism

Other (specify)

Date/time the incident occurred:
Date:    
Time:

Specific location where the incident occurred:
 

Describe the incident (please provide as many details as you can):

Describe the person(s) involved in the incident: