Submit a Special Incident Report

*By submitting a Special Incident Report electronically through this form, you acknowledge and understand that you are solely responsible for ensuring the report is received. If you do not receive a response from a social worker or staff member within 1 hour of submitting the report, you must follow up immediately by phone, text, or email following the chain of command (social worker first, supervisor second, and program director third) until you receive a response.

[contact-form-7 id=”4410″ title=”Special Incident Report”]