Get Plcb-20270211 Incident Documentation Form

Filling out the PLCB-20270211 Incident Documentation Form online is a straightforward process that allows users to effectively document incidents involving patrons. This guide provides clear instructions to help users navigate through each section of the form with confidence.

Follow the steps to complete the online form successfully.

1. Press the ‘Get Form’ button to access the Incidence Documentation Form and open it in the editor for completion.
2. Enter the date and time of the incident in the designated fields, indicating whether it was AM or PM.
3. Complete the patron's personal information, including their name, address, phone number, employer, and age. Circle whether the age is verified or approximated.
4. Provide a physical description of the patron for identification purposes.
5. Indicate whether the patron's ID was checked by marking 'Yes' or 'No', and specify who checked the ID along with the type of ID presented and its number.
6. Document the time of arrival and departure for the patron, noting the specific times.
7. Explain where the patron was prior to arriving at your establishment.
8. List the number and types of drinks served to the patron.
9. State the amount of time it took to serve the drinks.
10. Answer whether the patron was injured, and if so, describe the injury and indicate whether medical attention or hospitalization was needed.
11. Detail any contribution of the patron to the injury.
12. Indicate whether law enforcement authorities were called, state the time of the call, and identify who made the call and the responding officers.
13. Confirm if the patron drove from the establishment, and if applicable, provide vehicle details such as make, model, color, and license number.
14. If the incident occurred outdoors, describe the weather conditions at the time.
15. Describe the incident in detail, including eyewitness accounts, providing comprehensive information.
16. Fill in the names and contact information of the employee and witnesses involved, ensuring all signatures are obtained.
17. Lastly, ensure that the person completing the form signs and dates it.
18. Save your changes, and proceed to download, print, or share the completed form as needed.

Complete your PLCB-20270211 Incident Documentation Form online today.