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Security Incident Recording Form <br />Date of Incident: Time of Incident: AM /PM <br />Location: <br /># of Fatalities: # of Injuries: Property Damage Estimate: $ <br />Type of Security Incidents: Check all that apply. <br />Homicide ❑ Burglary ❑ Motor Vehicle Theft ❑ <br />Forcible Rape ❑ Bombing ❑ Chemical or Biological Release ❑ <br />Robbery ❑ Arson ❑ Aggravated Assault ❑ <br />Hijacking ❑ Bomb Threat ❑ Kidnapping ❑ <br />Other ❑ <br />Description of Incident: Attach law enforcement report(s) if available. <br />Recorded By: <br />Date: <br />Title: Phone #: <br />04/25/16 <br />PDFConvert. 1073 5. 1. Section 6_- _Security <br />Attachment 9umber 5 \n <br />F -9 Page 295 <br />