How to Write
- Incident Type – Theft, suspicious activity, injury, etc.
- Description of Incident – What happened, date, time, and location.
- Party Information – Names and contact information of anyone involved (if available).
- Response Measures – Actions taken in response (e.g., contact police, secure scene).
- Evidence Taken – Reference to photographs, security footage, or other evidence.
California Reporting Requirements
In California, a security guard report must be filed with the police within seven business days of any incident involving the discharge of a firearm, a physical altercation, or the use of a deadly weapon.[1]
Sample
Full Name: [FILER NAME] Date of Birth: [DATE]
Phone: [PHONE] E-Mail: [E-MAIL] Address: [ADDRESS]
Registration/License No.: [REG. OR LICENSE NO. (IF APPLICABLE)] Expiration Date: [DATE]
Signature: Date: [DATE]
INCIDENT DETAILS
Location: [INCIDENT LOCATION]
Incident Type: ☐ Trespassing ☐ Theft / Burglary ☐ Vandalism ☐ Fire / Smoke
☐ Assault ☐ Safety Hazard ☐ False Fire Alarm ☐ Accident ☐ Other: [OTHER TYPE]
Describe the Incident: [DESCRIBE INCIDENT]
PARTIES INVOLVED
- Full Name: [NAME] Phone: [PHONE] E-Mail: [E-MAIL]
Address: [ADDRESS]
Identification: ☐ Driver’s License No.: [DL NO.] ☐ Passport No.: [PASSPORT NO.]
☐ Other: [OTHER IDENTIFICATION NO.] - Full Name: [NAME] Phone: [PHONE] E-Mail: [E-MAIL]
Address: [ADDRESS]
Identification: ☐ Driver’s License No.: [DL NO.] ☐ Passport No.: [PASSPORT NO.]
☐ Other: [OTHER IDENTIFICATION NUMBER]
INJURIES
Was anyone injured? ☐ Yes ☐ No
If yes, describe the injuries: [DESCRIBE INJURIES]
ACTIONS TAKEN
Police Notified? ☐ Yes ☐ No If yes, was a report filed? ☐ Yes ☐ No
Evidence Collected: ☐ Photos ☐ Video Footage ☐ Witness Statements ☐ Physical Items
☐ Other: [OTHER EVIDENCE]
Evidence Notes: [ADDITIONAL EVIDENCE INFO]
Describe any other actions taken in response to the incident: [DESCRIBE RESPONDING ACTIONS]
MEDICAL SERVICES
Was medical treatment provided? ☐ Yes ☐ No ☐ Refused
If yes, where was medical treatment provided? ☐ On site ☐ Hospital ☐ Other: [OTHER]