Student Or General Public Injury And Property Damage Report Form Page 2
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315. NAMES AND ADDRESSES OF WITNESSES.
TELEPHONE
16. WHAT ACTION HAS OR WILL BE TAKEN TO PREVENT RECURRENCE:
I have personally taken photos of the accident scene.
I have arranged for the Department of Public Safety to take photos of the accident scene.
THIS REPORT HAS BEEN REVIEWED AND ACCURATELY REFLECTS ALL OF THE INFORMATION KNOWN REGARDING THE ACCIDENT OR INCIDENT
INVESTIGATED BY (Typed name of person investigating report)
TYPED TITLE OF PERSON INVESTIGATING REPORT
DATE
SIGNATURE OF PERSON INVESTIGATING REPORT
TYPED NAME OF OFFICE AND TELEPHONE NO. OF PERSON INVESTIGATING REPORT
11-21-08
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