Get Student Accident Report - Northeast Metro 916 Intermediate - Nemetro K12 Mn

This guide provides a comprehensive overview of how to accurately complete the Student Accident Report for Northeast Metro 916 Intermediate. Filling out this form online is a straightforward process that ensures timely reporting of incidents involving students.

Follow the steps to fill out the Student Accident Report effectively.

1. Click ‘Get Form’ button to obtain the Student Accident Report and open it in the editor.
2. Begin by entering the student's name, date of birth (DOB), and any other required personal information in the designated fields.
3. In the Accident/Incident Information section, provide the date and time of the incident. Specify the location by selecting the appropriate options such as classroom, hallway, gym, or outside.
4. If the incident occurred outside a district facility, include the name and address of that location. Clearly describe how the incident occurred, offering as much detail as possible.
5. Indicate what caused the injury by checking the corresponding box for self, another student, or other. Mention any tools, equipment, or substances involved in the incident.
6. Answer the questions regarding physical holds or seclusion procedures, and provide necessary details, such as the type of physical control used.
7. Include witness information, if applicable, by providing their name and phone number. If additional statements are necessary, attach more pages.
8. Note the nature of the injury by marking all applicable options, such as abrasion, cut, or fracture. Specify the part of the body injured along with left or right indications.
9. Fill in the Medical Information section. Document first aid administered, the name of the medical facility if referred, and the individual filling out the report, including their position and contact number.
10. Finally, certify that the report is complete and accurate by signing or typing your initials in the provided box, along with the date. Remember to submit this form within 24 hours of the incident, either online or via paper copy.

Complete and submit your documents online today to ensure accurate and timely reporting.