Virtual Troop Incident Report

Thank you for your responsibility and diligence in completing this form after an incident has occurred during a virtual Troop meeting.

Incidents can include but are not limited to sudden changes in troop leadership, personal conflict, security breech, agreement violation, questions of liability, inappropriate content shared, etc.

Please complete this form for any incident that you believe is of note or could possibly need Council involvement.

GSGNY Council staff will address reports in a timely manner and take what we deem to be the best appropriate action.

For immediate assistance, email GSGNY Customer Care at customercare@girlscoutsnyc.org

Thank you!

Today’s Date/Date of Report Submission: *

This Report was submitted by (Your Name): *

First Name

Last Name

Your Phone Number: *

Please provide your contact details/e-mail here if you are submitting this incident report and ARE NOT the designated Account Holder/Co-Leader associated with the Zoom account on which the incident occurred.

Name of Zoom Account Holder/Co-Leader:

First Name

Last Name

Personal Email address associated with Zoom Account:

Troop number(s): *

Did the incident occur while using a gsZoom license administered by council GSGNY? *

Were girls present at the time of the incident? *

Have there been any changes in Troop Leadership/Co-Leaders? (in recent weeks/months or membership year)*

If so, please briefly explain.

Date and Approx. Time of Incident: *

Name of involved persons or parties: *

Details of Incident:*

Please provide as much information as possible.

Actions taken directly following the Incident:*

Support Needed or Questions for Council:

I hereby certify that the above statements are true and correct to the best of my knowledge. I understand the severity and consequences that can be associated with false statements.

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