Los Santos Emergency Services

IMPORTANT NOTICE:

By submitting this form, you confirm that you have read and agree to the official rules and terms that come with the Human Resources Report process, found on the 'Complaint Processing Overview' page. Please do not submit an Human Resources Report if you have not done so yet.

Reporter Details:

Full Name *
First and Last Name: "John Doe"

Place of Residence *
Street Number and Name, City/County, State OR N/A if None

Phone Number *
Your Current Telephone Number

Current Occupation *
Your current workplace, or N/A if none.

Employee Details:

Full Name *
LSES Employee's First and Last Name: "John Doe"

Badge Number
LSES Employee's 4-digit badge number, if known

Employee Description (If Full Name Unknown)
Clothing, hair, tattoos, facial features, uniform, vehicles, etc.

Occurrence Details:

Date and Time of Reported Occurrence *

Give a detailed explanation of what happened during the occurrence from your perspective *

Additional Information

Attach all evidence (pictures, videos, voice memo) here *

(( OOC Details )):

MCRP Forum Profile *
Your Profile Page on the Mafia City Forums (Not the LSES Website)

Discord Name & ID *

Age *
Your OOC / IRL Age

Place OOC Evidence here

Agreement:

By filling in this report, you hereby agree that all information and descriptions provided are honest and nothing but the truth. You agree that all of the above is not manipulated or changed in any possible way. You agree that making a false Human Resources Report and Giving False Information may lead to the Human Resources Department making a report about it to the Los Santos Police Department as this falls under Obstruction of Justice and/or Giving False Information to a Police Officer/Medic.

(( You agree that all information and evidence used in the IC sections are hundred percent obtained In Character and not Out Of Character. You agree that the Internal Affairs Department will make a report on the MCRP Forums about IC Information obtained through an OOC manner. ))

Signature:

Sign Here *
First and Last Name: "John Doe"

What does LSES stand for?:
This question is a means of preventing automated form submissions by spambots.