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property damage report

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Incident/Property Damage Report Form Print this form and use as a copy master. Reported By Dept. Date Date of Incident Time of Incident a.m. p.m. Location of Incident Was Police Dept. Notified yes no Fire Dept. yes no Incident Report Please provide a brief description of the type of damage Injury to Person Damage to Property Other describe Name of Party Phone Address include complete address with street address city state and zip Driver s License No. Briefly Describe What Happened Did party...
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Driver's Licenses and/or State Identification Numbers of Victims Name of Vehicle No (include the name under driver's licenses) Vehicle Make and Model (include vehicle year, make and model) Vehicle Color (include vehicle color) Vehicle License Plate No. (if not identified by vehicle license plate, please include the license plate number in parentheses) Type of Damage Type (include damage type and damage type and other damage type) Name of Respondent (if applicable) Telephone Number (include telephone number and city, state, zip) Required Fields Resistance: 0=None 0=Not Suspect +1=Suspect. +2=Suspect, Wants to Interfere. +3=Suspect, Threatens Victim. +4=Suspect, Involved in the Attack. +5=Suspect, Involved in the Attack, Involving Firearms. +6=Suspect, Involved in the Attack, Involving Bomb. +7=Suspect, Involved in the Attack, Involving Drugs. +9=Suspect, Involved in the Attack, Involving Bomb, Wants to Enter the Facility 0=No Response.
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