SHANGHAI INCIDENT REPORTING DateApproximate time of incident:000102030405060708091011121314151617181920212223000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859CUSTOMER DETAILSFirst NameLast NameINCIDENT DETAILSWhat type of incident has taken place?Please SelectSerious AssaultAssaultSexual AssaultDiscriminationSpikingTheftOtherEnter details here:Did you call to log this incident with the police?YesNoPolice Incident Number:Did you need to call an ambulance?YesNoIn order to help us investigate this issue thoroughly please give us a detailed description of the incident.Include as much information as possibleSend Message
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