NPR Library Incident Form

Please contact the police if you encounter behavior that is disruptive to patrons and/or staff.

 
Why are you using this form?:
  Disruption   Injury
Patron Name(s) if available:
Patron phone number and address if available:
Description of patron(s):
Where did the incident occur?:
What time did the incident occur?:
What happened?:
Please list everyone who witnessed the incident and any available contact info:
Did you need to call 911?:
  Yes   No
Were the police informed?:
  Yes   No
If so, who contacted them?:
Was the individual(s) still here when the police arrived?:
  Yes   No
Was someone trespassed?:
  Yes   No
If applicable, please list the name(s) of the person(s) trespassed.:
Which employee trespassed the individual(s)?:
If applicable, please give the name of the police officer.:
Describe any other action that was taken:
Please add any additional comments that may help in potential future encounters with the individual(s).:
Your name:

If you have contacted the police for assistance, and the patron leaves before the police arrive:

please contact the police to return the next time you see the patron.

 

If a patron who has been trespassed enters the library, please contact the police immediately.
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