Incident Report
Please use this form to report an incident where you have witnessed an underage employee operating the meat slicer or cleaning / washing / touching any of its parts.
Store number or address *
What was the date of the violation? *
MM
/
DD
/
YYYY
What was the time of the violation? *
Time
:
What was the name of the underage employee operating the slicer?
Enter your name: (Used only to claim your $50.00 reward.) *
Enter your email address or telephone number: (Used only to claim your reward.) *
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This form was created inside of Century Restaurants, Inc.