IncidentOnline Incident Report - Lost Lands
Select an Incident Report Type - If unsure, choose "General"*

Complete the online incident report below. Once submitted, you will receive a summary for your records and a confirmation that the Command Post has received your report. You may be contacted by a report writer to obtain additional information or details.
Reporting Party Details

                                    Your Name*
                                
Your Phone Number*
                                    
                                    Your Email*
                                    
                                    Your Radio Zone & Channel
                                
                                        Your Department/Employer
                                    
                                    Your Title/Role*
                                
                                    Your Supervisor's Name and Contact Info*
                                
Narrative/Attachments
Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required*
Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)
                                        
Incident Questions

                                        Were there any injuries/illnesses?*
                                    
                                        Was any property damaged?*
                                    
                                        Was there a fire or smoke?*
                                    
                                        Were there any witnesses?*
                                    
                                        Was anyone under 18 involved?*
                                    
                                        Would you like to speak with a report writer?*
                                    
General Details
Location Search - Choose the closest location to the incident
                                    
                                    Specific Location*
                                
Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)*
												
Medical Details - If more than 1 patient, add additional patient info in the narrative section.

                                    Patient First/Last Name
                                
                                    Patient Age
                                
                                    Patient Chief Complaint (ex: Broken Wrist)
                                
                                        In the past 24 hours, has the patient consumed any drugs or alcohol?
                                    
Patient Disposition (ex. transported to hospital)
                                    
Property Damage Details - If multiple items damaged, add additional info in the narrative section.

                                    Name of Individual Causing Damage
                                
                                        How is the person causing damage associated to the event?
                                    
                                        In the past 24 hours, has the person causing damage consumed any drugs or alcohol?
                                    
                                    Owner of Damaged Property
                                
                                        Was the owner notified of the damage?
                                    
                                    Owner Contact Info
                                
                                    Serial Number/License Plate of Damaged Property
                                
Fire Details

                                    Source of Fire/Smoke
                                
                                        Did the fire department respond?
                                    
Theft Details

                                    Owner of Stolen Property
                                
                                    Approximate Value of Items
                                
                                        Description of Item(s)
                                    
                                        Were there any suspicious events before the theft?
                                    
Witness Details - If multiple witnesses, add additional witness info in the narrative section.

                                    Witness Name
                                
                                    Witness Phone
                                
                                        How is the witness associated to the event?
                                    
                                    If the witness is a vendor/staff, include their employer/department name.
                                
Event Selection

                                        Regardless of when the incident occurred, select the event for TODAY'S DATE.*
                                    
Complete the online incident report below. Once submitted, you will receive a summary for your records and a confirmation that the Command Post has received your report. You may be contacted by a report writer to obtain additional information or details.
Reporting Party Details

                                    Your Name*
                                
Your Phone Number*
                                    
                                    Your Email*
                                    
                                    Your Radio Zone & Channel
                                
                                        Your Department/Employer
                                    
                                    Your Title/Role*
                                
                                    Your Supervisor's Name and Contact Info*
                                
Narrative/Attachments
Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required*
Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)
                                        
Incident Questions

                                        Were there any injuries or illnesses as a result of the fire/smoke?*
                                    
                                        Was any property damaged from the fire/smoke?*
                                    
                                        Were there any witnesses?*
                                    
                                        Was anyone under 18 involved?*
                                    
                                        Would you like to speak with a report writer?*
                                    
General Details
Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)*
												
Location Search - Choose the closest location to the incident
                                    
                                    Specific Location*
                                
Fire/Smoke Details

                                    What was the source of the fire/smoke?*
                                
                                        Did the fire department respond?*
                                    
Medical Details - If more than 1 patient, add additional patient info in the narrative section.

                                    Patient First/Last Name
                                
                                    Patient Age
                                
                                    Patient Chief Complaint (ex. headache, broken arm, etc.)
                                
                                        In the past 24 hours, has the patient consumed any drugs or alcohol?
                                    
Patient Disposition (ex. transported to hospital)
                                    
                                    Hospital (if transported)
                                
Property Damage Details - If multiple items damaged, add additional info in the narrative section.

                                    Owner of Damaged Property
                                
                                        Was the owner notified of the damage?
                                    
                                    Owner's Contact Info
                                
                                    Serial Number/License Plate of Damaged Property
                                
Witness Details - If multiple witnesses, add additional witness info in the narrative section.

                                    Witness Name
                                
                                    Witness Phone
                                
                                        How was is the witness associated to the event?
                                    
                                    If the witness is a vendor/staff, include employers name.
                                
Event Selection

                                        Regardless of when the incident occurred, select the event for TODAY'S DATE.*
                                    
Complete the online incident report below. Once submitted, you will receive a summary for your records and a confirmation that the Command Post has received your report. You may be contacted by a report writer to obtain additional information or details.
Reporting Party Details

                                    Your Name*
                                
Your Phone Number*
                                    
                                    Your Email*
                                    
                                    Your Radio Zone & Channel
                                
                                        Your Department/Employer
                                    
                                    Your Title/Role*
                                
                                    Your Supervisor's Name and Contact Info*
                                
Narrative/Attachments
Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required*
Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)
                                        
Incident Questions

                                        Was anyone under 18 involved?*
                                    
                                        Were there any witnesses?*
                                    
                                        Would you like to speak with a report writer?*
                                    
General Details
Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)*
												
Location Search - Choose the closest location to the incident
                                    
                                    Specific Location*
                                
Medical Details - If more than 1 patient, add additional patient info in the narrative section.

                                    Patient First/Last Name*
                                
                                    Patient Age*
                                
                                    Patient Chief Complaint (ex. headache, broken arm, etc.)*
                                
                                        In the past 24 hours, has the patient consumed any drugs or alcohol?*
                                    
Patient Disposition (ex. transported to hospital)*
                                    
                                    Hospital (if transported)
                                
Witness Details - If multiple witnesses, add additional witness info in the narrative section.

                                    Witness Name
                                
                                    Witness Phone
                                
                                        How is the witness associated to the event?
                                    
                                    If the witness is a vendor/staff, include their department or employer's name.
                                
Event Selection

                                        Regardless of when the incident occurred, select the event for TODAY'S DATE.*
                                    
Complete the online incident report below. Once submitted, you will receive a summary for your records and a confirmation that the Command Post has received your report. You may be contacted by a report writer to obtain additional information or details.
Reporting Party Details

                                    Your Name*
                                
Your Phone Number*
                                    
                                    Your Email*
                                    
                                    Your Radio Zone & Channel
                                
                                        Your Department/Employer
                                    
                                    Your Title/Role*
                                
                                    Your Supervisor's Name and Contact Info*
                                
Narrative/Attachments
Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required*
Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)
                                        
Incident Questions

                                        Were there any injuries/illnesses?*
                                    
                                        Were there any witnesses?*
                                    
                                        Was anyone under 18 involved?*
                                    
                                        Would you like to speak with a report writer?*
                                    
General Details
Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)*
												
Location Search - Choose the closest location to the incident
                                    
                                    Specific Location*
                                
Property Damage Details - If multiple items damaged, add additional info in the narrative section.

                                    Name of Individual Causing Damage*
                                
                                        How is the person causing damage associated to the event?*
                                    
                                        In the past 24 hours, has the person causing damage consumed any drugs or alcohol?*
                                    
                                    Who is the owner of the damaged property?*
                                
                                        Was the owner notified of the damage?*
                                    
                                    Owner Contact Info
                                
Medical Details - If more than 1 patient, add additional patient info in the narrative section.

                                    Patient First/Last Name
                                
                                    Patient Age
                                
                                    Patient Chief Complaint (ex. headache, broken arm, etc.)
                                
                                        In the past 24 hours, has the patient consumed any drugs or alcohol?
                                    
Patient Disposition (ex. transported to hospital)
                                    
                                    Hospital (if transported)
                                
Witness Details - If multiple witnesses, add additional witness info in the narrative section.

                                    Witness Name
                                
                                    Witness Phone
                                
                                        How is the witness associated to the event?
                                    
                                    If the witness is a vendor/staff, include their employer/department name.
                                
Event Selection

                                        Regardless of when the incident occurred, select the event for TODAY'S DATE.*
                                    
Complete the online incident report below. Once submitted, you will receive a summary for your records and a confirmation that the Command Post has received your report. You may be contacted by a report writer to obtain additional information or details.
Reporting Party Details

                                    Your Name*
                                
Your Phone Number*
                                    
                                    Your Email*
                                    
                                    Your Radio Zone & Channel
                                
                                        Your Department/Employer
                                    
                                    Your Title/Role*
                                
                                    Your Supervisor's Name and Contact Info*
                                
Narrative/Attachments
Using only facts, describe what occurred. Be unbiased & specific-Include info from above as required*
Attachments (photos, 3rd party reports, driver's license photos of witnesses/persons involved, etc.)
                                        
Incident Questions

                                        Was any property damaged?*
                                    
                                        Were there any witnesses?*
                                    
                                        Was anyone under 18 involved?*
                                    
                                        Would you like to speak with a report writer?*
                                    
General Details
Date & Time of Incident (NOTE: Ensure you select the appropriate time, it is often missed)*
												
Location Search - Choose the closest location to the incident
                                    
                                    Specific Location*
                                
Theft Details - If multiple items are missing, add additional info in the narrative section.

                                    Owner of Stolen Property*
                                
                                    Approximate Value of Items (USD)*
                                
                                        Description of Item(s)
                                    
                                        Were there any suspicious events prior to the suspected theft?*
                                    
Property Damage Details - If multiple items damaged, add additional info in the narrative section.

                                    Name of Individual Causing Damage
                                
                                        How is the person causing damage associated to the event?
                                    
                                        In the past 24 hours, has the person causing damage consumed any drugs or alcohol?
                                    
                                    Owner of Damaged Property
                                
                                        Was the owner notified of the damage?
                                    
                                    Owner Contact Info
                                
                                    Estimated Cost of Damage (USD)
                                
Witness Details - If multiple witnesses, add additional witness info in the narrative section.

                                    Witness Name
                                
                                    Witness Phone
                                
                                        How is the witness associated to the event?
                                    
                                    If the witness is a vendor/staff, include their employer/department name.
                                
Event Selection

                                        Regardless of when the incident occurred, select the event for TODAY'S DATE.*
                                    
                        Thank you for submitting the incident form. If you have any questions please reach out to your department head or dispatch on event days.
                        Your Incident ID is #
                    
**Data submitted via this form is collected pursuant to the AEG Privacy Policy**
                            
This form is Invalid