Hedberg Library Incident Report Form Home Library & Information Services Hedberg Library Incident Report Form Library & Information Services About Hedberg LibraryLibrary ResearchBorrowing & AccessArchives & Special CollectionsComputer & Technology ServicesMedia ServicesTelephonesNews & EventsFrequently Asked Questions The content of the submitted form will be sent to Carol Sabbar, Director of Library and Instructional Technology Services; and Kathy Myers, User Services Supervisor. They will make the decision what steps should be taken regarding each incident. Please be as detailed as possible when filling out the form so that staff will have a complete picture of what has taken place. name_of_person_submitting_the text field Name of person submitting the form status_of_person_submitting_th radio button field Status of person submitting the form Library Staff/Student Employee Faculty/Staff Student Guest of Carthage email_address_of_person_submit e-mail address field Email address of person submitting the form phone_number_of_person_submitt text field Phone number of person submitting the form did_you_witness_the_incident radio button field Did you witness the incident? Yes No date_and_time_of_incident date/time field Date and time of incidentPlease enter a date in the first box, and a time in the second box. at location_of_incident text field Location of incident description_of_incident textarea field Description of incident Please be as detailed as possible and include: descriptions/contact information for people involved, account of the situation. action_taken_by_you_or_other_s textarea field Action taken by you (or other staff) Please include any steps you or other staff took during and after the incident. who_did_you_contact checkbox field Who did you contact?Please choose all appropriate responses. Business Office Campus Security Maintenance Department Your Supervisor Did you create a Request Tracker ticket (if needed)? Link (required)