Incident Report

KILGORE MEMORIAL LIBRARY INCIDENT REPORT:

Date:



Time:



Person Reporting Incident:



Library Staff:



  Theft   Illness / Injury   Assault
  User Behavior   Vandalism   Maintenance/Other

Brief Description of Incident:




























Follow-up Actions:



























Kilgore Memorial Library   ¦   520 Nebraska Ave.   ¦   York, NE 68467
(402) 363-2620

Page last updated: 08/14/2008