Staff Report Form

[Dovina LeymanthaCommisioner]

IC

SAN ANDREAS MEDICAL & FIRE DEPARTMENT
EMPLOYEE COMPLAINT RECORD FORM

1. INCIDENT INFORMATION

Date: <answer here>
Location of Incident: <answer here>
Time: <answer here>
Department Membership: (choose one)
[] SAPD [] SAGS [] SANEWS [] Civilian

2. EMPLOYEE INFORMATION

Name: <answer here>
Employee Position: <answer here>
Badge Number of the Employee: <answer here>
3. REPORTER INFORMATION
Name: <answer here>
Phone Number: <answer here>
Email address: <answer here>
Description of the Incident:
(Provide detailed description of what happened)
Supporting Evidence (If Applicable):
(Witness statements, CCTV, dash-camera recordings, etcetera)


Signature

Code:

[center]
[img]http://i68.tinypic.com/358peli.jpg[/img]
[color=#800000][b]SAN ANDREAS MEDICAL & FIRE DEPARTMENT[/b][/color]
[b][color=#800000]EMPLOYEE COMPLAINT RECORD FORM[/color][/b][/center]

[b][color=#800000]1. INCIDENT INFORMATION[/color][/b]

[b]Date:[/b] <answer here>
[b]Location of Incident:[/b] <answer here>
[b]Time:[/b] <answer here>
[b]Department Membership:[/b] (choose one)
[] SAPD [] SAGS [] SANEWS [] Civilian

[b][color=#800000]2. EMPLOYEE INFORMATION[/color][/b]

[b]Name:[/b] <answer here>
[b]Employee Position:[/b] <answer here>
[b]Badge Number of the Employee:[/b] <answer here>
[b][color=#800000]3. REPORTER INFORMATION[/color][/b]
[b]Name:[/b] <answer here>
[b]Phone Number:[/b] <answer here>
[b]Email address:[/b] <answer here>
[b]Description of the Incident:[/b]
(Provide detailed description of what happened)
[b]Supporting Evidence (If Applicable):[/b]
(Witness statements, CCTV, dash-camera recordings, etcetera)


Signature

OOC

SAN ANDREAS MEDICAL & FIRE DEPARTMENT
EMPLOYEE COMPLAINT RECORD FORM

1. REPORTER INFORMATION
Name: <answer here>
LS:RP Forum Name: <answer here>
Department Membership: (choose one)
[] SAPD [] SAGS [] SANEWS [] Civilian
2. REPORTED MEMBER INFORMATION
Name: <answer here>
Rank: <answer here>
Time and Date of the Incident:
(Detail the time and date of the incident.)

Description of the Incident:
(Provide detailed description of what happened.)

Supporting Evidence (If Applicable):
(Screenshots, video, chatlogs, anything of use.)

Additional Information (If Applicable):
(Include additonal information or concerns.)

Code:

[center]
[img]http://i68.tinypic.com/358peli.jpg[/img]
[color=#800000][b]SAN ANDREAS MEDICAL & FIRE DEPARTMENT[/b][/color]
[b][color=#800000]EMPLOYEE COMPLAINT RECORD FORM[/color][/b][/center]
[b][color=#800000]1. REPORTER INFORMATION[/color][/b]
[b]Name:[/b] <answer here>
[b]LS:RP Forum Name:[/b] <answer here>
[b]Department Membership:[/b] (choose one)
[] SAPD [] SAGS [] SANEWS [] Civilian
[b][color=#800000]2. REPORTED MEMBER INFORMATION[/color][/b]
[b]Name:[/b] <answer here>
[b]Rank:[/b] <answer here>
[b]Time and Date of the Incident:[/b]
(Detail the time and date of the incident.)

[b]Description of the Incident:[/b]
(Provide detailed description of what happened.)

[b]Supporting Evidence (If Applicable):[/b]
(Screenshots, video, chatlogs, anything of use.)

[b]Additional Information (If Applicable):[/b]
(Include additonal information or concerns.)