Loading
Form preview picture

Get Behavior Incident Report Form

UNACCEPTABLE BEHAVIOR INCIDENT REPORT FORM INSTRUCTIONS This form must be completed by the complainant s supervisor or by UHR when an employee reports an incident involving a threat act of intimidation violence or other unacceptable behavior being committed by another employee. 1. Complainant s name Job Title 3. Home phone number Work phone number 4. Department 6. Incident date Incident time Incident location 7. Type of incident circle one Assault Robbery Harassment Disorderly Conduct Sex Offense Other. Please specify 8. Were you injured circle Yes No If yes please specify your injuries and the location of any treatment 9. Did police respond to incident 10. Which police department 11. Police report filed 12. Was your supervisor notified 13. Supervisor s name 14. Was any action taken specify 15. Alleged perpetrator circle one Intruder Customer Patient Resident Client Visitor Student Co-Worker Former Employee Supervisor Family/Friend Other specify 17. Please briefly describe the incident 18. Were you alone when the incident occurred 19. Provide information for all witnesses name department address phone number 20. Did the incident involve a weapon No Specify 21. Were you unable to continue or report for work due to the incident How long Why 22. Was the violence directed solely at you or were others included If others were included name s department s address es phone number s if known 23. Did you have any reason to believe that an incident might occur 24. Has this type or similar incident s happened to you or your co-workers Yes 25. Was the alleged assailant involved in previous incidents 26. Have you had any counseling or support since the incident 27. What are your recommendations for avoiding such an incident 28. Are there any measures in place to prevent similar incidents 29. Has corrective action been taken 30. Incident disposition Circle all that apply No action taken Arrest Warning Suspension Reprimand Other 31. Comments Action taken Referred to OUPD Referred to University Human Resources for further action Interviewed all parties investigated facts filed with UHR Dismissed complaint because Other Recorder s Signature Date Complainant s Signature. 1. Complainant s name Job Title 3. Home phone number Work phone number 4. Department 6. Incident date Incident time Incident location 7. Type of incident circle one Assault Robbery Harassment Disorderly Conduct Sex Offense Other. Please specify 8. Type of incident circle one Assault Robbery Harassment Disorderly Conduct Sex Offense Other. Please specify 8. Were you injured circle Yes No If yes please specify your injuries and the location of any treatment 9. Were you injured circle Yes No If yes please specify your injuries and the location of any treatment 9. Did police respond to incident 10. Which police department 11. Police report filed 12. Was your supervisor notified 13. Did police respond to incident 10. Which police department 11. Police report filed 12. Was your supervisor notified 13. Supervisor s name 14. Was any action taken specify 15. Alleged perpetrator circle one Intruder Customer Patient Resident Client Visitor Student Co-Worker Former Employee Supervisor Family/Friend Other specify 17.

How It Works

behavior incident report form rating
4.8Satisfied
51 votes

Tips on how to fill out, edit and sign How to write a robbery incident report online

How to fill out and sign Behavior Incident Report Form online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Choosing a legal professional, creating a scheduled visit and coming to the business office for a personal conference makes completing a Behavior Incident Report Form from beginning to end stressful. US Legal Forms helps you to rapidly create legally binding documents based on pre-constructed web-based samples.

Perform your docs within a few minutes using our simple step-by-step guideline:

  1. Find the Behavior Incident Report Form you want.
  2. Open it using the online editor and start adjusting.
  3. Fill in the blank fields; engaged parties names, places of residence and phone numbers etc.
  4. Customize the template with smart fillable areas.
  5. Include the date and place your electronic signature.
  6. Simply click Done after double-examining everything.
  7. Save the ready-created papers to your gadget or print it as a hard copy.

Quickly produce a Behavior Incident Report Form without having to involve experts. We already have more than 3 million users benefiting from our unique library of legal documents. Join us today and gain access to the #1 collection of online blanks. Try it yourself!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Robbery incident report FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Behavior Incident Report Form

  • intimidation
  • Recorders
  • specify
  • disorderly
  • assailant
  • recommendations
  • perpetrator
  • solely
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.