Leader resources for First Baptist Harahan
Benevolence
Building and Grounds
Documents
Home
Incident Report
Site Forms Testing Page
VBS
Incident Report
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Incident Date and Time
Date
Time
Type of Incident
Supplemental
Injury
Threats/Violence
Theft/Vandalism
Break In/ Unauthorized Use
Suspicious Individual
Fire/ Accidental Damage
Was Incident on Church Property
Yes
Partially (Explain)
No
Person Involved
Relationship to Church
Member
Regular Attender
Visitor
Employee
Contractor
Other (describe below)
Phone
Address
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Describe the incident including place, conditions preceding incident, and nature of any injuries
Name of Person Submitting Report
Role
Phone
Email
*
Who was notified
Police
Fire Department
EMS
Pastor/ Staff
Parents
Other (describe below)
What actions were taken to stabilize the situation and return the situation/individual to normal?
the preceding Layout
Witnesses (Name/Address/Telephone/Role)
Other's notified
Recommended Follow-up
Attach Images or Supplemental Files
Drag & Drop Files,
Choose Files to Upload
Submit
