Get Incident Report Form Section 1 - Nyc

Filing the Incident Report Form is crucial for documenting incidents accurately and promptly. This guide will provide you with clear instructions on how to complete Section 1 of the form online, ensuring you understand each required field and can submit your report effectively.

Follow the steps to accurately fill out the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by entering your name, signature, title, and the date in the Report Prepared By section. This information should reflect the individual responsible for completing the report.
3. Identify the relevant DYCD Program and input the contract ID, contractor agency name, address, and telephone number in the appropriate fields.
4. For Section 1, provide the name, age, and sex of the injured or abused person. Also, indicate their status (Client/Program Participant, Guest, Staff, or Other).
5. If a minor is involved, fill out the name, address, and telephone number of the parent or guardian. Indicate if they were called and the details of that communication.
6. Record the date, time, and address of the incident site, along with a detailed description of the incident and its cause.
7. List any other persons involved in the incident, providing their name, age, status, address, and telephone number.
8. Document actions taken during the incident, including details about emergency responders and any follow-up actions by the contractor.
9. Describe the circumstances and actions leading to the injury or abuse, including any medical treatment received by the injured party.
10. Finally, review all provided information for accuracy before saving, downloading, printing, or sharing the completed form.

Complete your INCIDENT REPORT FORM SECTION 1 online today to ensure timely processing and response.