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Incident Report

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Report

Staff documentation of incident reports is essential for maintaining a safe and well-documented environment. Please fill out the information below as it pertains to your situation.

 

Type of incident*
Answer Required

Who was involved?

Type*
Answer Required
Identify as The Victim or The Offender*
Answer Required
Type
Answer Required
Identify as The Victim or Offender
Answer Required
Type
Answer Required
Identify as The Victim or Offender
Answer Required
Answer Required
Identify as The Victim or Offender
Answer Required
Who has been notified?
Answer Required

[Provide a detailed description of the incident, including what happened, who was involved, and any witnesses.]

 

[Describe any immediate actions taken to address the incident, such as first aid provided, separating individuals involved, or calling emergency services.]

 

Signature*
Signature Required

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By pressing “Sign Form,” you are agreeing to signing this form electronically.
Signature *
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Date:
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