MAC Incident Report Form

This form should be used to document any incident at the Mountain America Center Campus. These Incidents include slips, falls, fights, and sickness. This form should also be used to report any issues that could set the Mountain America Center up for litigation.

    Your Role*Department Director/ManagerSupervisorSecurityUsherTicket TakerGuest Services

    General Location*Mountain America CenterHero ArenaBlue Cross of Idaho Conference CenterIron Horse RV and Trailers Parking LotTeton Auto Group Plaza

    Incident Type InjuryEjectionAccidentIllness

    Select All That Apply Medical Treatment RequiredFurther Medical Aid RequiredTreatment on SiteFatalRefused TreatmentN/A