Report Abuse
** Required Field
Names of City employees involved: If you don't know the name, please provide a description. (max 200 characters)
Departments/Divisions Involved: (max 200 characters)
Location of Incident: (max 200 characters)
Names of others involved (Not employed by City): (max 200 characters)
Company name or other information about these individuals: (max 200 characters)
**
Comments/Details about the event: Please be as specific as possible. (max 1000 characters)
Comments/Details is required
**
Incident Date/Time:
Incident Date/Time is required
Upload images - 2MB max (allowed file types: jpg, jpeg, gif):
If you wish to be notified of the result of the investigation, please select either Email or Phone from the options below. If you wish to remain anonymous, you may do so by selecting "No, Remain Anonymous".
Notify?
No, Remain Anonymous
Yes, Notify Me by Email
Yes, Notify Me by Phone
Name:
*
Name is Required
Email:
*
Email is Required
Phone:
*
Phone is Required
Please verify to continue
Submit
Developed by the Department of Information Technology (DoIT)