Report an LSEMS Employee | Information and Format

Locked
User avatar
Emergency Medical Services
Posts: 230
Joined: Sun Aug 23, 2020 2:19 am
ECRP Forum Name:

Report an LSEMS Employee | Information and Format

Post by Emergency Medical Services »

Image

If you feel you have been the victim of wrongful treatment or care from one of our medical professionals, we encourage you to fill out this form to the best of your ability. Each complaint is reviewed thoroughly by the Internal Affairs Division of the Los Santos Emergency Medical Services and when the investigation is complete, a ruling will be made as to whether the Department or its employees has violated current medical protocols and procedures or not. Please also note that we only take reports that have incidents within the last 14 days.

Please provide any evidence of claims submitted. The Internal Affairs Division will conduct an investigation and do its due diligence during the review, however, it is advised to provide as much evidence to help with the investigation.

(( Reports and evidence used can either be OOC or IC - We hold the LSEMS Faction to the highest of standards both OOC and IC and you may report a member for out of character reasons including but not limited to: ))
  • (( Poor Roleplay ))
  • (( Server Rule Violations ))
  • (( Negative OOC Attitude ))
  • (( Ignoring OOC faction rules ))
Reports and evidence are taken very seriously by the LSEMS Internal Affairs Division as we hold our medical professionals to the highest of standards.

You may report the LSEMS or one of its employees for reasons including but not limited to:
  • Medical Malpractice
  • Violation of Protocol and Procedures
  • Wrongful or Harmful treatment of a Patient
  • Disregard for Health or Life of an Individual
  • Improper Use, Sale, or Prescribing of Prescription drugs
Sample Report
Image
PERSONAL INFORMATION
Image

Name: First Lastname
Organization & Position (if applicable): Organization, Position
Phone Number: ###-####
(( Discord: Discord here))
EMPLOYEE DETAILS
Image

Employee#1
Name: Fname Lname
Rank/Position: RESPONSE
Badge Number: ####
Employee Description if Name is Unknown: RESPONSE

Employee#2
Name: Fname Lname
Rank/Position: RESPONSE
Badge Number: ####
Employee Description if Name is Unknown: RESPONSE

*Add additional employees to the list of needed
INCIDENT DETAILS
Image
Location of Reported Incident: RESPONSE

Approximate Date & Time of Reported Incident: DD/MMM/YYYY - HH:MM UTC

Detailed Description of Incident: RESPONSE

Additional Information & Evidence: RESPONSE

(( OOC Evidence )): ((OOC Recordings, screenshots, chatlogs etc. ))
AGREEMENT
Image

By filing in this report you hereby agree that all information and descriptions provided are truthful.
You agree that all evidence provided to support your allegations is truthful and hasn't been manipulated.

((By filing this you hereby agree that all OOC evidence used for OOC complaints are truthful and evidence has not been manipulated.
You also agree that all information and evidence used in this form IC are entirely in character and have not been obtained OOC.))
(( please note the form is fully IC unless stated otherwise
))


SIGNATURE: FIRST LASTNAME
Image
Copy this code

Code: Select all

[img]https://i.imgur.com/qaxAEJB.png[/img]
[divbox=White]
[center][size=150][b]PERSONAL INFORMATION[/b][/size][/center]
[img]https://i.imgur.com/F7kU3dh.png[/img]

[b]Name:[/b] First Lastname
[b]Organization & Position (if applicable):[/b] Organization, Position
[b]Phone Number:[/b] ###-####
(([b] Discord: [/b] Discord here)) 
[/divbox]
[divbox=White]
[center][size=150][b]EMPLOYEE DETAILS[/b][/size][/center]
[img]https://i.imgur.com/F7kU3dh.png[/img]

[u]Employee#1[/u]
[b]Name:[/b] Fname Lname
[b]Rank/Position:[/b]  RESPONSE
[b]Badge Number:[/b] ####
[b]Employee Description if Name is Unknown:[/b]  RESPONSE

[u]Employee#2[/u]
[b]Name:[/b] Fname Lname
[b]Rank/Position:[/b]  RESPONSE
[b]Badge Number:[/b] ####
[b]Employee Description if Name is Unknown:[/b]  [i]RESPONSE[/i]

*[i]Add additional employees to the list of needed[/i]
[/divbox]

[divbox=White]
[center][size=150][b]INCIDENT DETAILS[/b][/size][/center]
[img]https://i.imgur.com/F7kU3dh.png[/img]
[b]Location of Reported Incident:[/b] RESPONSE

[b]Approximate Date & Time of Reported Incident:[/b] DD/MMM/YYYY - HH:MM UTC

[b]Detailed Description of Incident:[/b] RESPONSE

[b]Additional Information & Evidence:[/b] RESPONSE

[b](( OOC Evidence )):[/b] ((OOC Recordings, screenshots, chatlogs etc. ))
[/divbox]

[divbox=White]
[center][size=150][b]AGREEMENT[/b][/size][/center]
[img]https://i.imgur.com/F7kU3dh.png[/img]

[i]By filing in this report you hereby agree that all information and descriptions provided are truthful. 
You agree that all evidence provided to support your allegations is truthful and hasn't been manipulated.

((By filing this you hereby agree that all OOC evidence used for OOC complaints are truthful and evidence has not been manipulated. 
You also agree that all information and evidence used in this form IC are entirely in character and have not been obtained OOC.))
(( [color=#0000BF]please note the form is fully IC unless stated otherwise[/color][/i] ))


[b]SIGNATURE:[/b] [i][font=Bradley Hand ITC] FIRST LASTNAME [/font][/i]

[/divbox]
[LSEMSfooter][/LSEMSfooter]
Please submit the complaint form here.
Image
Locked

Return to “Commendations & Complaints”

Who is online

Users browsing this forum: No registered users and 3 guests