Submit/Edit an Occurrence Report Occurrence Report Initially Referred by: * Walk-InEmail/OnlineSNR/TelephonePolice Database Crime Type * Abduction & KidnappingAssault (non DV)Break & EnterCriminal Harassment (including stalking)Domestic ViolenceElder AbuseHate CrimesHomicideHuman TraffickingMotor Vehicle Collision (crime related)RobberySexual AssaultTheft & FraudTragic CircumstancesVandalismOther Incident Information (please include accused information): Primary Victim Information arrowup6 Name * Date of Birth Gender MaleFemaleOther Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Home Phone Cell Phone Deceased Person Services Offered arrowup6 Transports to Safety Safety Tips Addressed Accompaniment Provided No Yes Accompaniment Provided To: Callout Details arrowup6 Where Client Received Service: By Telephone/RemoteAt A Police StationAt VS OfficeVictim's ResidenceHospitalCommunity Time Received 8am – 5pm5pm – 12am12am – 8am Date of Incident * Date of Service * Time of Service * 121234567891011 : 0030 AMPM Time of Callout Arrival 121234567891011 : 0030 AMPM Time of Callout Departure 121234567891011 : 0030 AMPM Callout Location Travel Time (in minutes) Referral Source Fire & EMSSAC (Sexual Assault)ShelterVCAOCASSelf ReferredVWAPOPPStakeholder Response Time arrowup6 Was the client served within 72 hours of the incident? Was the client served within 72 hours of the referral? * Support Provided arrowup6 Please enter the number of people for which support was provided. Adult Female Victims Adult Male Victims Child Victims (under 15) Adult Female Family Members Adult Male Family Members Child Family Members (under 15) Other Adult Females Other Adult Males Other Children (under 15) Police Information arrowup6 Officer’s Name Occurrence Number Badge Number Department OPPOther Referrals arrowup6 Childcare Referred To: Number of Appointments Income Support Referred To: Number of Appointments Medical Referred To: Number of Appointments Housing Referred To: Number of Appointments Legal Referred To: Number of Appointments Police Referred To: Number of Appointments Public Counselling Referred To: Number of Appointments Sexual Assault Centre Referred To: Number of Appointments Sexual Assault Treatment Centre Referred To: Number of Appointments Shelter Referred To: Number of Appointments VWAP Referred To: Number of Appointments VQRP+ Referred To: Number of Appointments Other Referral Other Referral Type Referred To: Number of Appointments Additional Victim Information arrowup6 Victim Identified as First Nations Service provided in French Service provided in language other than English or French Which Language Requiring accessible customer service Service Required: Service provided accessible customer service accommodation Service Provided: Additional Case Details arrowup6 Children Involved? VQRP Application N/AVQRP request submitted VQRP Application VQRP Consent Obtained? N/AYes VQRP Approved No Yes Charges Laid? Vulnerable Person? Needs Assessment? Safety Plan Created Service Plan Created Author Date Submitted Is the file active? ActiveClosedReopened File Status Re-opened Re-closed Team Lead Information First Name Last Name Team Leader User NoneAlicia Bennewies Mileage (in kms) Time On Phone (in minutes) Time On Site (in minutes) COVID-19 Screening Victim Screened by OPP Victim Screened by Victim Services Responded Remotely Volunteer Information First Name Last Name Volunteer User NoneBrittanyAlicia BennewiesAndrea StevensonBobbi-JoBonnie HastingsBrandon KoetsierBrandy GagnierHayley MorganHolly HowsonJess KellerJoAnn RobinsonJoni ReinhartKarissa DenommeMarion TaylorMarly SquireMartina TaitMeganNatalie CampbellNick GeleynseNicole RussellPeter EdgarSara WhetungShawn ReininkTim WylieTyra Muscheid-SitlerWagner ValdezWayne Cronin Mileage (in kms) Time on Phone (in minutes) Time On Site (in minutes) plus1 Add Volunteer minus1 Remove Staff Information First Name Last Name Staff User None Mileage (in kms) Time on Phone (in minutes) Time On Site (in minutes) plus1 Add Staff minus1 Remove If you are human, leave this field blank. Submit Back to Victims List