School Incident Injury Report Form Page 2
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1
2WHAT TO DO WHEN AN
INJURY OCCURS
Gather FACTS of
Deliver Incident
Injury occurs to student,
incident and complete
Report ASAP to
parent or member of
Incident Report in
Principal’s Office
general public.
pen, legibly and
for further
completely.
distribution to:
School Nurse and
District Office
Business Dept.
Note: Incident Reports
contain confidential
information. Students
are prohibited from
viewing/handling
Incident Reports.
Incident Reports may
become legal documents
in defense of litigation.
Statements written
should be facts and not
opinions.
Incident Reports are
subject to California
Public Records Act
(CPRA) release.
If a party requests a
copy of an Incident
Report, notify the Site
Principal for his/her
release of document.
H:LisaFORMSSchool Incident Report - Form 153 rev 7-16-12lj.doc7/5/12
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Parent category: Business