Interviewed By:____________ Video: yes_____ no______ Date:____________
INCIDENT REPORT
Print Name: Signature: ________________________________________________________________________
Address:
________________________________________________________________________
Contact: ________________________________________________________________________
(phone, email, message)
When describing an incident, provide as much detail and basic facts as possible.
Say simply what happened and do not make it too wordy, but make sure you write down the facts: date and time, location with street names, print names and contact information of witnesses, print number on police car and descriptions or names of police officers or city employees, and provide any paperwork when possible. Write the ticket citation number, violation number, the court name and your court date, and provide a copy or the ticket.