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YYYY-MM-DD-TITLE

Date of Incident:

Time:

Location:

Reported by:

Incident Type:

  • Noise
  • Guest policy
  • Harassment
  • Threatening behavior
  • Property damage
  • Safety concern
  • Maintenance
  • Unauthorized access
  • Theft
  • Medical emergency
  • Fire / Smoke
  • Other:

People Involved​

Resident(s):

Guest(s):

Witness(es):

Staff / Steward:

Incident Summary​

Provide a factual description of what occurred.

Include:

  • what was observed
  • where it occurred
  • when it occurred
  • who was present

Avoid opinions or assumptions.

Immediate Actions Taken​

Examples:

  • Resident spoken to
  • Verbal warning issued
  • Emergency services contacted
  • Management notified
  • Maintenance contacted
  • Area secured
  • Other:

Evidence Collected​

  • Photographs
  • Video
  • Messages / Email
  • Access logs
  • Witness statements
  • Other:

Description:

Lease or House Rules Potentially Involved​

List any relevant lease clauses or house rules.

Examples:

  • No further action
  • Monitor situation
  • Verbal warning
  • Written warning
  • Conditional continuation notice
  • Management review
  • Lease termination review
  • Other:

Completed By​

Name:

Date: