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Citizen Incident Report

Welcome to the City of St. Joseph’s Online Citizen Incident Report. Use this form to report all Citizen Incidents whereby a citizen alleges some type of injury occurring on or about City Premises, Facilities, or Rights of Way, or allegations that injury was caused by some type of City operation. A supervisor must submit the form. This form is required even if a police report was filed. Note: This is an official report. Please review all entries for accuracy prior to selecting the “Submit” option. Failure to comply may result in disciplinary action up to and including termination. Please contact Risk Management at 236-1478 if you have any questions. Please submit a copy of any applicable police report to Risk Management as soon as it is available.

YOU MUST CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THE PAGE IN ORDER FOR THE REPORT TO BE SUBMITTED PROPERLY.

(NOTE: Please use the TAB key, or the mouse, to move between fields.)

* = required

  2. Click Here to Pick up the date
  9. Male Female
  15. yes no
  19. Home Doctor Hospital Other N/A
  24. yes no