Submit a Village Incident Report – Birch Bay Village Community Club

Village Incident Reporting

Please use the form below to submit an Village Incident Report.

Submissions are reviewed by the Safety & Security Committee and Birch Bay Village Staff.

Village Incident Report

Today’s Date

Date and Time of Incident

Name

E-mail Address

Please leave your e-mail address so that BBVCC may contact you regarding your report.

Phone Number

Please leave your phone number so that BBVCC may contact you regarding your report.

Address

Describe the incident you witnessed, date, time and what you saw.

This field may look small but can contain an unlimited number of characters. Tell us the everything.

Who did you call/email/notify?

Was the incident resolved by whomever you contacted?

Do you have pictures of the incident?

Upload pictures of the incident here. If you are having trouble uploading your pictures please clear your browser history and try again.

Maximum file size: 516MB

Please provide any other information you feel may be pertinent to the incident.

If you are human, leave this field blank.