Telephone Fan Out Questionnaire For Easy Reference

GRANDE PRAIRIE DISTRICT RURAL CRIME WATCH ASSOCIATION

TELEPHONE FAN OUT QUESTIONNAIRE   GPDRCWA PHONE # 780-831-4390

 

Please try to get three items and what is happening if possible. If it is only possible to get one or two items, call them in and the on-call person

will start a list as other items may be added by future calls.

 

CALLER’S INFORMATION:                            TIME ______________                  DATE______________

CALL BACK PHONE NUMBER _________________________________

WHO IS CALLING___________________________________________

INCIDENT INFORMATION:

ADDRESS AND AREA ___________________________________________________________________________

WHAT IS HAPPENING __________________________________________________________________________

____________________________________________________________________________________________

VEHICLE INFORMATION:

MAKE AND MODEL _____________________________

LICENCE NUMBER ____________________________________

APPROXIMATE YEAR___________________________________

COLOR______________________________________________

ANYTHING DIFFERENT ABOUT THE VEHICLE   _______________

______________________________________________________________________________

OCCUPANT INFORMATION:

HOW MANY OCCUPANTS  _______________________________________________

DESCRIPTION OF THE DRIVER ___________________________________________

DESCRIPTION OF PASSENGER(S) __________________________________________

ADDITIONAL INFORMATION THAT WILL HELP DESCRIBE PEOPLE, VEHICLE OR SITUATION __________________

_______________________________________________________________________________________________