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Safety Reporting Form

IMPORTANT: If this is an emergency or life-threatening situation please call 911.

Please provide as much information as possible regarding the incident. Include details such as who, where, when and what is involved in this incident. If you want to be contacted regarding this incident please include your full name and contact information.

Enter your email address*

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Describe the incident*

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If you have a photo or a file that you think would help our investigation you may upload them here:

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Choose a file or drag it here.