Incident Reporting

Please complete the reporting form to the best of your ability, including as many details about the incident as possible.

The information you provide will be submitted to Arc Broward’s Leadership for immediate action.

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What type of incident is this?
Please describe incident if other is selected
Date and Time of Occurrence
Name
Please enter a valid phone number

To follow up on your report, provide new information, or if you are experiencing technical difficulties, please email dzirilli@arcbroward.com

Arc Works Employer Partner Interest Form

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Name
Are you currently hiring?
I am interested in becoming an employer partner
Please add me to your mailing list