NAATS CISMP REPORT TO FRANK PIRHALLA 202-267-9651

Date of incident?

What was the incident?

Facility affected?

What CISMP service provided:

1) Contact with affected employee(s)? How many? When conducted?

2) Defusing with employee(s)? How many? When conducted?

3) CISDS? - when? How many attended? Name of NAATS CISMP peer? Name of counselor?
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