safety Issue Report Form

Use this form to report specific incidents, repeated activity, or general concerns regarding safety in Osborne Village.

We will use this information to help advocate for increased safety resources for our community. The more we know about what’s going on, the better we can serve your needs.

*please note, this is not a police report. You will not be followed up with by the Winnipeg Police Service unless you request.

Name

First Name

Last Name

Are you a business or resident?

Type of safety issue

Description of issue / incident

Let us know what happened with as much detail as you're comfortable sharing

Location of issue / incident

Provide an address or description of the site of the

Date of incident

(if applicable)

YYYY

Time of incident

(if applicable)

Hour

Minute

Second

Any additional information