Get Minor Injury/incident Report Form - Handbook La-archdiocese

Filling out the Minor Injury/Incident Report Form is an important step following an incident involving a minor injury. This guide provides a clear and supportive approach to completing the form online, ensuring that all necessary information is accurately reported.

Follow the steps to complete the Minor Injury/Incident Report Form.

1. Click ‘Get Form’ button to access the report and open it in the workspace.
2. Begin by entering the student information. Fill in the date, the student's name, age, date of birth, and grade in the provided fields. Ensure accuracy as this information is essential for identification.
3. In the injury report section, specify the date when the injury occurred, along with the time of the injury. Select the location of the injury by circling the appropriate option (e.g., practice, game, classroom).
4. Provide a detailed description of the injury, indicating what part of the body was affected. Use clear language to describe the extent of the injury and any visible symptoms.
5. Next, describe how the injury occurred. Include all relevant details following a specific sequence to help readers understand the context of the incident.
6. Document any actions taken in response to the injury. Specify what steps were implemented to address the situation immediately after the incident.
7. Indicate whether the parent or guardian was notified by selecting 'Yes' or 'No'. Then, enter the name of the coach, supervisor, or moderator involved.
8. Complete the section with the name and signature of the staff member making the report. Check if an insurance form was issued and indicate 'Yes' or 'No'. Lastly, have a school official sign the form.
9. After filling out all necessary sections, you may save your changes, download the completed form, print it for records, or share it as needed.

Complete the Minor Injury/Incident Report Form online today to ensure prompt and accurate documentation.