Report form

Please describe where and when the incident occurred in as much detail as possible. If possible, please state the city, the address or the description of the company or any other place, adding the date and time.
Please describe what happened in as much detail as possible.
Please specify the parties to the incident as accurately as possible – their names, positions and other information for their identification.
Please describe how you learnt of the incident. If you received the information from another person, please specify who else holds that information.
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This information is required.