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<textarea>
<b>Incident Type:</b>
[ ]murder [ ]provoked attack [ ]unprovoked attack [ ]prison break [ ]brawl [ ]other
<b>Location:</b>
[ ]cabin [ ]public space [ ]warden-locked space [ ]port
<b>Date/Time:</b> [approximate is fine]
<b>Involved:</b> [please name pertinent parties involved in the incident]
<b>Wardens Involved:</b> [please name any and all wardens involved]
<b>Incident Summary:</b> [1-3 sentences on what happened; please stick to the facts of the event]
<b>Incident Result:</b>
[ ]injuries [ ]death [ ]ship damage [ ]clean up required [ ]inmates in zero [ ]other
<b>Details/Other:</b>
<b>Medical Assistance Required?:</b>
[ ]yes [ ]no
<b>Extended Concerns?</b>
[ ]supervision [ ]trauma [ ]revenge [ ]friend revenge [ ]stalking [ ]security issues [ ]other
<b>Details/Other:</b>
<b>Notes/Commentary:</b> [this is the space for opinions, concerns, or commentary on the incident]
</textarea>