Security Guard Incident Report Form

Use this form to report accidents, injuries, medical situations, criminal activities, traffic, incidents, or student behavior incidents. If possible, a report should be completed within 24-48 hours of the event.

Person(s) Involved

Subject 1

Subject 2

Subject 3

Subject 4

Witnesses

Witness 1

Witness 2

Witness 3

Injuries

Police / Fire / Medical Services

Police Report

Medical Treatment

Description of Incident

Person filing report