Incident Report Format Letter
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Incident Report Date: 02/26/13 Time: 8:30pm Concerning: 149599 Staff Involved: Case Manager Location: 1st Church of Lombard Statement of Facts: On the above date and approximate time this Case Manger was working the night site at 1st Church when the verbal confrontation between program participant and CM initially started.. Earlier in the evening this CM observed pp highly intoxicated, so CM held on to his pads http://m.accuweather.com/en/us/carol-‐stream-‐il/60188/weather-‐warnings/328773ID for last, and spoke with him privately requesting to keep his behavior in check so that no problems would arise..
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