Unusual Event Report
Please enter as much information as possible. If a field is not applicable, leave it blank. The only mandatory fields are
incident number
(000000000 if unknown),
incident address
, and
description of the incident
.
Today's Date:
Reporting Party Information
First Name:
Last Name:
Agency:
Police
Fire
EMS
-Please Select-
Beaverton PD
Cornelius PD
Forest Grove PD
Hillsboro PD
King City PD
North Plains PD
Sherwood PD
Tigard PD
Tualatin PD
WCSO
Classification/Rank:
-Please Select-
Battalion Chief
Call Taker
Captain
Chief
Citizen
DI
DII
Lieutenant
Officer
Sergeant
Other
Dispatch #:
Position:
N/A
Beaverton Radio
Call Taker
Fire
Hillsboro Radio
Service Net
South Cities Radio
SO1 SO2 Radio
Other
Shift:
-Please Select-
Day
Swing
Grave
Contact Info
Contact Name:
Contact #:
Are you requesting contact with disposition?
Yes
No
Have you spoken to a WCCCA supervisor regarding this incident?
Yes
No
Incident Information
CAD Incident 9 digit # (if known):
Police
Fire
Incident Date:
Incident Time:
Incident Address:
Persons Involved
Name(s)/Nature of Involvement
Describe the incident in detail; does your description answer who, what, when where, and why?