Patron Incident Form
This form is to be used when a patron situation rises to the level of an “incident” which is characterized by the following: a patron’s health or safety is threatened or his/her behavior with staff is bizarre or threatening, police or emergency services are called to the building, a patron resists instructions by security guards, or any urgent situation which requires that Library administration be notified. Do not use this form for general complaints, building problems which are not safety concerns, or system issues (i.e., Aleph is down).
Patron photo, if available
Incident description (please provide as much detail as possible):
Were the police or emergency services contacted?
Police report number or other details (if available):
Was the incident referred to SOCAT?
Other details (if available):
Staff Member Name
Do Not Fill This Out