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*ASSAULT* FOR ATTENTION: FAX NO: FROM: DATE: ASSAULT REPORT QUESTIONNAIRE Employee Name: Date of injury: Detail of where the assault occurred: Employer: Was the employee on duty at the time of the
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How to fill out assault report questionnaire

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How to fill out an assault report questionnaire:

01
Begin by providing your personal information such as your name, contact information, and any other relevant details requested on the form.
02
Provide a detailed description of the assault incident, including the date, time, and location. Include any witnesses or evidence that may support your account.
03
Answer any specific questions on the questionnaire regarding the physical or emotional impact of the assault. Be as detailed as possible to accurately convey the severity of the incident.
04
If applicable, provide information about the perpetrator, including their name, physical description, and any known identifying information.
05
Attach any supporting documentation or evidence, such as photographs, medical records, or witness statements, if requested on the questionnaire.
06
Sign and date the assault report questionnaire to confirm that the provided information is true and accurate to the best of your knowledge.

Who needs an assault report questionnaire:

01
Victims of assault or individuals who have witnessed an assault may need to fill out an assault report questionnaire.
02
Law enforcement agencies, such as the police or other investigative bodies, may require individuals involved in assault incidents to complete a report questionnaire.
03
Assault report questionnaires may also be used by organizations or institutions that handle cases of assault, such as universities, workplaces, or community support centers, to gather information and take appropriate actions.
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The assault report questionnaire is a document used to report incidents of assault or violence.
Anyone who has been a victim of assault or witnessed an assault is required to file an assault report questionnaire.
You can fill out the assault report questionnaire by providing detailed information about the incident, including date, time, location, and description of the assault.
The purpose of the assault report questionnaire is to document and investigate incidents of assault or violence.
Information such as date, time, location, description of the assault, and any witnesses must be reported on the assault report questionnaire.
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