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Please complete the report below for any Park and Recreation related accidents that the department should be aware of. Non-Accidents/Injuries should be reported on our Incident Report.

This report will be emailed to Park & Recreation staff, upon sending. Staff at activity sites will also have paper forms if needed.

If you have any further information or questions, feel free to contact us at (608) 526-2152 (Mon. – Fri., 8am-4:30pm).

"*" indicates required fields

Name of Injured Person*
Date of Accident*
Witness Name
Witness Address
Name of Person Filing Report*