Get Customer Incident Report

Filling out a Customer Incident Report online is a crucial step in documenting any incidents that occur within a store. This guide will provide you with clear and step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the Customer Incident Report.

1. Click ‘Get Form’ button to access the form and open it in your online editor for completion.
2. Begin by entering the policy number in the designated field at the top of the form.
3. Next, provide the date and exact time of the accident, along with the name of the manager on duty during the incident.
4. Answer the question regarding whether you witnessed the incident by selecting ‘Yes’ or ‘No’. If you did not witness it, provide the name of the person who informed you.
5. In the description field, provide a detailed account of the accident or incident, focusing on key details.
6. Please preserve the product or equipment involved for further investigation.
7. Describe the cleanliness, dryness, and signage present at the location at the time of inspection. Note the last time the area was cleaned and checked and by whom.
8. Move on to the injured person information section. Fill in their name, home address, home phone number, age or date of birth, employer name, social security number, occupation, and work phone number.
9. Detail the injury sustained by the person and provide information about the medical care received at the scene, including the name of any attending doctor, hospital, or clinic.
10. If the injured person had a companion, include their name, address, and home phone number.
11. Once all sections have been completed accurately, ensure to save your changes. You may choose to download, print, or share the report as needed.

Take action now and complete the Customer Incident Report online.