Convention Center Incident Report Form
Please complete this form to report any incidents that occur within the convention center. Provide as much detail as possible to help us address the situation effectively.
Type of Incident
*
Please Select
Injury/Accident
Property Damage
Theft/Loss
Disturbance
Other (please specify)
Date and Time of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident (Area/Room/Booth)
*
Name of Person Reporting
*
First Name
Last Name
Contact Information of Reporter (Phone or Email)
*
Names of Persons Involved (if any)
Detailed Description of the Incident
*
Were there any witnesses?
*
Yes
No
Witness Name(s) and Contact Information (if applicable)
Immediate Actions Taken
Upload Supporting Photo(s) (if available)
Upload a File
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