Incident Report Form

Please complete the following form and submit it to Public Safety. Questions marked with an asterisk (*) are required fields. If you have questions, please contact Public Safety at 802-635-1205.

 

 
 
 
 

*Was Public Safety called at the time the incident occurred?


 

*Were outside services called?


 
If so, which?

Name of responding officer
 

List all victims, suspects and witnesses using the following abbreviations:

[V] Victim | [S] Suspect | [W] Witness | [O] Other

Please include person's first and last name and middle initial (if known).
 
 
 
 
 
 
 
 

* required field