Incident Report Form

Use this form to report any non-injury incident that occurs which may result in future problems or other future repercussions for the people involved or for Girl Scouts of Northern California.

If the incident you would like to report involves any sort of accident or injury, please use the Accident-Injury Report Form.

Incidents might include *

A serious argument (may or may not escalate into verbal or physical threats)

A physical altercation

A non-injury incident of any sort where police are summoned

Possible or threatened legal proceedings

Possible or threatened adverse report to the media

YOUR INFORMATION

Your Name *

Troop (5-digits) *

Service Unit: *

Email Address *

Phone *

Street Address *

City *

Zip Code *