REPORT AN INCIDENT OR ACCIDENT

A Brief Description of the Incident.

First Name

Last Name

Occupation

Contact Email Address

Contact Mobile Number.

Address

Details of The Incident.

Provide details of the Incident Here.

Details of The Injuries.

Provide details of the Injuries here.

Details of The Property Damage.

Provide details of any property damage that occured as a result of the incident here.

Details of the Losses.

Provide details of any losses that occured as a result of the incident here.

Details of the Witnesses.

Provide details of any Witnesses at the scene of the Incident.

Upload a Photo.

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Upload a Video.

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Did you call emergency services?Call Emergency Services Now

Was anyone hospitalised?

Did you notify worksafe?Notify Worksafe

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I agree to my submission being published on the relevant section of the Tokoroa Golf Club Website for transparency and legal purposes.

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