Help us make the library a more user-friendly and safe place for you, your family, and neighbors. Use
this form to alert us to any situation or problem that we need to know and do something about. We'll
keep all your input confidential. If you'd like, we'll contact you via phone or e-mail and let you know how the
situation is being handled/addressed.

Type of incident
Disruptive behavior     Harassment     Accident / injury     Theft     Vandalism
Other   (specify)  

Date / time the incident occurred
Date       Time

Specific location where the incident occurred

Describe the incident   (please provide as many details as you can)

Describe the person(s) involved in the incident