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2. Reporting Procedure
   • This report may be filled out online below or you can download a copy: 
     • Communications Incident Report (DOC)
     • Communications Incident Report (PDF)
   • All incidents must be reported within seven days of occurrence
   • The Department Chief must submit and sign the incident reports. Reports signed by anyone else will not be accepted.
   • Original signed hard copies of this form must be mailed or hand-delivered to the:
     Department of Public Safety, Division of Communications
     PO Box 2900
     Flemington, NJ 08822
   • Do not fax.
   • A copy should also be forwarded to the HCFCA Radio Committee Chairman.
   • Please attach additional sheets if necessary to the downloaded copy, enough space is allowed for on the form below.
   • Call the Division of Communications at 908-788-1205 with any questions about this Communications Incident Report.
4. Date & Time of Incident
   Date & Time of Incident

   Date & Time of Incident
5. CAD Incident Number
7. Department
8. Station Number
10. Chief Officer / Member in Charge
11. Officer Rank / Number
13. Apparatus or Portable Radio Number
14. Telecommunicator Number
16. Type of Incident
18. Location at Time of Call
20. Weather Condition
22. Narrative

    (Include all pertinent information)

24. Date of Report
    Date of Report
26. Chief's Signature

    (Type in your name for submitting this form online)

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field