.br
.ps +2
.BI "ABR PROPERT (22)Y DAMAGE/OTHER INCIDENT REPORT"
.ps -2
.br
.BI "Type of Addnl Incident (awol/injury/other): "   
.ps -2

<additional_incident_type>

.br
.ps +2
.BI "Date of Incident: "   
.ps -2

<incident_date__text>

.ps +2
.BI " Time: " 
.ps -2

<incident_time_text>

.br
.ps +2
.BI "Client's Involved: "   
.ps -2

<clients_text>

.br
.ps +2
.BI "Staff Involved: "   
.ps -2

<staff_involved_text>

.br
.ps +2
.BI "Witnesses: "  
.ps -2

<witnesses_text>

.br
.ps +2
.BI "Location: "   
.ps -2

<location_text>

.br
.ps +2
.BI "Precipitating Factors: "  
.ps -2

<ppting_factors_text>

.br
.ps +2
.BI "Incident Details: "  
.ps -2

<incident_details_text>

.br
.ps +2
.BI "Damage: "
.ps -2

<describe_damage_text>

.br
.ps +2
.BI "Acknowledgement of Responsibility? "  
.ps -2

<acknowledgement_text>

.br
.ps +2
.BI "Work Order: "  
.ps -2

<work_order_text>

.br
.ps +2
.BI "Current Status: "  
.ps -2

<current_status_text>

.br
.ps +2
.BI "Notification Date: "   
.ps -2

<notify_date_text>

.ps +2
.BI " Notification Time: "   
.ps -2

<notify_time_text>

.br
.ps +2
.BI "Notifications: "  
.ps -2

<notification_text>

.br
.ps +2
.BI "Follow-up: "  
.ps -2

<follow-up_text>

.br