INCIDENT REPORT | Mosh Website

INCIDENT REPORT FORM

If you would like to report an incident that occurred in MOSH please submit the below form in as much detail as possible. Our management team will be made aware of all incident reports and a member of the team will contact you to discuss this matter further.

Please note: If your report is in regards to criminal activity, we advise that you also report the incident directly to police.

Full Name

Phone

Date of Incident

Description of Incident

Did you report the incident or speak to a member of staff regarding the incident on the night?

Do you have a crime number?

Did you seek medical attention in our reception or at the hospital after the incident?

The below information will help us to locate the incident on our CCTV footage. Please complete the information in as much detail as possible in order for us to identify you.

Time you arrived at Mosh

22:00

Time you left Mosh

00:00

What were you wearing on the night of the incident?

Who did you arrive with?

Please attach any photo's of you on the night, documentation or medical records that you think may help us

Upload File

I understand that by submitting this incident report I am giving permission that this information may be shared with the police including CCTV and Security bodycam footage between the hours that I arrived and left the venue.

Thank you for reporting this incident to us. Your incident report will now be sent to our management team who will be in contact with you to follow up on this matter further.