Skip to Main Content
Loading
Close
Loading
About Us
Parks
Recreation
Upcoming Events
Frederick County Parks & Recreation
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Community Grants
Custodial Services
Filming
Marketing Department
Parks
Program Proposal
Recreation Council Forms
Recreation Forms
Special Request Form
Therapeutic Recreation Forms
Volunteer Applications
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Frederick County Recreation Incident Report
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Date and Time of Incident
*
Date and Time of Incident
Date and Time of Incident
Description of the Incident:
*
Name of Law Enforcement or Fire Agency contacted, if any:
*
Has the incident resulted in a safety threat?
*
Yes
No
Are maintenance repairs required?
*
Yes
No
If yes, what needs to be repaired:
*
If a vehicle or strange person was involved in this incident, please describe race, sex, height, weight, hair, eyes, age, year, make, model, color, tag#, etc:
WITNESSES
Name of Witness #1
Phone Number of Witness #1
Name of Witness #2
Phone Number of Witness #2
Name of person completing this report:
*
Phone Number:
*
Position:
Date of reporting incident:
*
Date of reporting incident:
Please call 301-600-1684 with any questions.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow