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MACN Secure Reporting - Individual Incidents

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MACN Secure Reporting - Individual Incidents

The following survey is part of the MACN reporting initiative. The objective of the survey is to enable members to report their ABC challenges safely and anonymously within the MACN and provide best practice solutions.

This survey will allow you to enter one (1) type of incident at a time. Please submit separate forms for each incident.

Report as many incidents/forms as you would like!
1. Date of incident *This question is required.