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The form below can be used to report an incident to the WNC peer support network as well as an in-house critical incident documentation tool. Please feel free to bookmark this page.

If this is your first time reporting a critical incident via our online form, please register your organization and yourself using the "Add agency/representative" button.

 If you would like to save this form as a desktop icon for in-department documentation the links can be found below.
Critical incident form
Registration form