Date: Date
Time of Report: Text field
House Name: Dropdown
Resident Name(s): Text field
What are you Reporting? (check all that apply):
Checkboxes
If Other: Paragraph
Description:
(Provide a detailed account of what happened. Include names of individuals involved, specific details, and any contributing factors.)
Paragraph
Action Taken:
(Describe any immediate actions taken to address the situation.)
Witnesses (If Any):
(Name(s) and contact information of anyone who observed the incident.)
Resolution Sought by Resident:
(What outcome or resolution are you requesting?)
Acknowledgment
By signing below, I confirm that the above information is true to the best of my knowledge.
Resident Signature: Signature
Once submitted, OneStep will notify us of your report. We will carefully review the information you’ve provided and present it to our director for further evaluation. Following the review, we will communicate with you regarding any actions or steps being taken to address and resolve the issue.
We appreciate your effort to bring this matter to our attention and will handle it with the utmost care and confidentiality.