Witness Name: Provide your first and last name Witness Address Provide your full address including post office box number Witness Phone Number Witness E-mail Address Date of Incident Time of the Incident Who or What was Involved Name of the person(s) involved or licence plate and description of the vehicle Location or Address of the Event Incident DetailsWhat did you see, hear, smell, etc. and how did it affect you? For example, If your report is regarding noise, record how often the infraction occurred ( use multiple copies of the Witness Report form for each occurrence, or create a noise evidence log to record each date, start and stop time, noise description (eg: shrill, repetitive, thumping, penetrating, whooping, singing, amplified music, heard indoors, etc.) and how it affected you (eg: woke you up, gave you a headache, kids couldn’t get to sleep, etc.) Your Actions and Other WitnessesDescribe in detail what actions, if any, you took to resolve the matter or incident. Document any additional persons or witnesses that may corroborate the evidence you've provided. Email Evidence to reception@lionsbay.ca Video Evidence Photographic Evidence Audio Evidence Other EvidenceTo indicate if evidence has been sent to reception@lionsbay.ca please check the type of file you've sent.