Injury Report Form January 31, 2015Shooting or Injury Reportadmin Officer's Name: Badge Number: PR: District/Unit of Assignment: Best Contact Phone Number: Time and Date of Incident: Location of Incident: Description of Incident: Was Officer Injured?: YesNo If yes, which hospital? If admitted, what room number? Was Board Member or On-Call Rep Notified?: YesNo If yes, who was called? Was Attorney Notified?: YesNo If yes, who was called? Person Logging Above Information: Date and Time Notified: Notified By?: Police RadioOperations RoomDirectorOther Human : [recaptcha id:captcha class:captcha]
