This is a service being brought to you by the City of Manhattan Department of Risk Management
(785) 587-4121.

Incident Information

Location of Incident:*

Date of Incident:*

Description of
Incident, including
property damage, if
any:*

Contact Information

We need to know how we may contact you just in case we need to clarify
your request. Thank you!

Your Name:*

Do NOT contact me Email

Your Address:

City:

State:

Zip:

Phone Number:*

Email Address:

Should you have questions regarding a Hazardous Materials incident, please
contact the City of Manhattan Hazardous Materials/Safety Officer at
(785) 587-4121.

Thank you for using this service!