Delgado Community College Violence Incident Statement Date of Incident Place of Incident Time Incident Began Time Incident Ended Person Making Statement Telephone Number Title Work Location Detail description of incident.
Answer the questions WHO, WHAT, WHEN, WHERE, HOW and WHY.
(If necessary, continue on plain paper; attach sheets.) Completed statement should be forwarded to appropriate personnel.
Allowed
Microsoft Office Word (.doc, .dot) - application/msword