Notification

Report of Unusual Occurrences

When anything unusual happens, such as damage to property or a vehicle, injury, theft, illness, or public or staff behavior that requires extreme action (including the involvement of the police), report the incident immediately to the supervisor in charge, the supervisor should call or e-mail the Administrative office at once.

This completed report is necessary to protect employees, to make insurance claims, and to keep DCLS Administration informed about occurrences that might precipitate other actions.
 
Complete this report as soon as possible. Pressing the submit below will send a copy of the form to the Executive Director, Public Services Director, Community Relations Director, Finance Director, Human Resources Director and Human Resources Generalist.

***After filling out the form you must print out a copy to give your supervisor ***