Accident Report
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Name *
Event/Location *
Date of the Accident *
MM
/
DD
/
YYYY
Time of the Accident *
Time
:
Please explain any and all damages, including property/equipment that does not belong to DJ Jer. *
Please explain any and all injuries.
Please list people involved (including those not employed by DJ Jer): *
Is there any paperwork already generated for the incidnent (e.g. police tickets, venue forms, etc.)? If so, please list. *
Additional Comments:
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