Patron Ejection Documentation Form

Documents the removal of a patron from the property, including the reason for ejection, involved staff, witnesses, method used, and any follow-up actions.

Submission Notice

• What happens after I submit?
• Your Name
  Enter your name if this report is not anonymous. Use only if needed for follow-up.
• Your Contact Email
  Optional unless follow-up is needed.

Incident Details

• Date of Ejection
• Time of Ejection
• Location on Property
  Specify the area where the ejection occurred.
• Was the patron escorted off the property?
• Reason for Ejection
  Select all reasons that apply.
• Reason Details
  Briefly describe the observable behavior or policy issue. Avoid unnecessary personal details.

People Involved and Witnesses

• Number of Staff Involved
• Staff Involved
  List each staff member involved in the ejection.
• Were there witnesses?
• Witness Details
  If witnesses were present, record names or roles when available. Do not collect more PII than necessary.

Method and Outcome

• Method Used
• Was any physical force used?
• Force Details
  If physical force was used, describe the minimum necessary actions taken and any injuries or property damage observed.
• Any injury or property damage?
• Injury or Damage Details
  Describe any observed injury or property damage and whether emergency services were contacted.

Follow-Up and Review

• Is follow-up required?
• Follow-Up Actions
  Select any actions taken or needed after the ejection.
• Additional Notes
  Add any other relevant facts for the audit trail.