Incident Report
This form must be completed every time there is an incident that has the **POTENTIAL** to affect our insurance, even if it is deemed minor at the time. It should be filled in as soon as possible after the incident has occurred so that the NCC receives it without delay.  If necessary, accompany the form with photographs, drawings or other information that may be helpful.
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Email *
Name of committee/group if any *
Name of person completing form *
Email address of person completing form (if different to above) *
Mobile number of person completing form *
When did the incident take place? Please provide the date and exact time. *
Where did the incident take place?  Please provide as precise a location as possible. *
Did the incident take place during an organised event? *
Who was involved in the incident? Please provide the contact details of every party. *
What happened? *
Please provide any further details on the nature of the incident; be as detailed as possible. *
Please describe what action was taken; be as detailed as possible. *
A copy of your responses will be emailed to the address you provided.
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