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7550 Sunwood Drive NW • Ramsey, MN 55303 <br /> Ci ty of <br /> R"S Y City Hall: 763.427.1410 • Fax: 763.427.5543 <br /> www.cityoframse. <br /> Accident Report <br /> Rink Location: ❑ Central Park ❑ Ramsey Elementary <br /> Name of injured person: <br /> Address of injured person: <br /> Date and time when injury occurred: <br /> Age of injured person: <br /> Nature of injury: <br /> How accident occurred: <br /> What action was taken? <br /> Witnesses: Name: <br /> Address: <br /> Telephone: <br /> Name: <br /> Address: <br /> Telephone: <br /> This report completed by: <br /> If this is a major emergency, be sure to contact to Terry Byron immediately; <br /> otherwise leave this report with the daily log sheet. <br /> It is our mission to work together to responsibly grow our community,and to provide quality,cost-effective and efficient government services. <br /> 12 <br />