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*
Time accident occurred*

: HH

MM
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

Accident & Injury Reporting

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

St. Mary of Gostyn Church & Parish Offices

St. Mary of Gostyn Parish Center

St. Mary of Gostyn Catholic School