**Review and Sign at the Bottom**

Counterforce Solutions: Security Services in Las Vegas

Medical Incident Report


(Reports Summaries must include what happened and what each involved person did and include all actions taken by security.)

I, the above named and below signing Officer, declare, certify, and affirm, for all intents and purposes, under penalty of perjury under the laws of the United States and the state of Nevada, that the foregoing is true and correct. I understand the filing of this report shall constitute an affidavit, that shall be used for investigative purposes and is designed to aid Counterforce investigators. At the time of this report I have not withheld any information that would be pertinent to this report and or the incident identified. Should information be later recalled that I did not recall at the time of the incident, I am required to submit a supplemental Additional Information Report, and or email the investigating manager regarding missed or omitted information.

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Medical Incident Report
lock iconUnique Document ID: 8a0752fda122a484feee44c3065dc800eb00ff3b
Timestamp Audit
January 24, 2024 8:06 am PSTMedical Incident Report Uploaded by Andrew Cowie - ifno@cfsol.com IP 47.147.53.76