Accident & Injury Reporting

In case of the need for Police or Fire Department in an EMERGENCY situation, call 911 immediately.

For Non-Emergency situation call:
Police 630/434-5600
Fire 630/434-5980

Please provide the requested information in the form below or contact Terri O’DeKirk at the Parish Center, 630/737-9621, with the information listed below WITHIN 24 HOURS:

Person filing the report*
First Last
Person filing the report Phone*
Email*
Name of Event where Accident/Injury occurred*
Date of Event/Accident*
MM slash DD slash YYYY
Time accident occurred*

: Hours

Minutes

AM/PM
Location where accident occurred*
Name of Person Injured*
First Last
Phone number of person injured*
Description of Accident*
Action taken (if any):
Name of Witness #1
Phone Number of Witness #1
Name of Witness #2
Phone Number of Witness #2

In case of the need for Police or Fire Department in an EMERGENCY situation, call 911 immediately.

St. Mary of Gostyn
Parish Offices

St. Mary of Gostyn
Church & Rectory

St. Mary of Gostyn
Catholic School

In case of the need for Police or Fire Department in an EMERGENCY situation, call 911 immediately.

St. Mary of GostynParish Offices

St. Mary of Gostyn Church & Rectory

St. Mary of Gostyn Catholic School

St. Mary of Gostyn
Parish Offices

St. Mary of Gostyn
Church & Rectory

St. Mary of Gostyn
Catholic School