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Get Or Incident Report - City Of Salem 2000-2024

Ll questions completely. Use the second sheet of paper to give any additional information you feel may be pertinent and attach any documentation (i.e. estimates, pictures) if applicable. This form may be printed off and mailed to the addressed listed below or submitted by email. Mail the completed form and any other information to: CITY OF SALEM Phone: Fax: Risk Manager, Room 225 555 Liberty Street SE Salem, Oregon 97301-3503 503-588-6132 503-588-6170 Date of Incident: # FOR OFFICE USE ON.

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