Incident Report

Staff name*

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Staff email*

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Staff phone number*

Number Required

Date of incident*

Answer required for "Date of incident"

Time of incident*

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Exact location of incident*

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Describe incident that occurred in sequential order, including who was involved and the outcome.

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Who has been notified and how were they notified?

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Police

Fire Department

Parent / Guardian

Who was involved?

Person 1 name

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Person 1 contact

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Person 2 name

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Person 2 contact

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Person 3 name

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Person 3 contact

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Person 4 Name

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Person 4 contact

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Describe the incident*

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Please upload relevant files.

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Choose a file or drag it here.

Please fix the highlighted areas below before submitting.