Get Accident Report Form - Westside Christian High School - Wchsonline

Completing the Accident Report Form promptly and accurately is essential for documentation after an incident at Westside Christian High School. This guide provides step-by-step instructions to ensure you fill out the form correctly and efficiently.

Follow the steps to fill out the Accident Report Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the district name and school name in the designated fields. Ensure that all entries are accurate.
3. Provide the principal's name and the school phone number. This information is crucial for follow-up communication.
4. Input the date and time of the accident, selecting either AM or PM as appropriate.
5. Enter the name of the supervising employee present during the incident.
6. Complete the claimant's personal information, including last name, first name, middle initial, address, city, state, ZIP code, social security number, home phone number, age, date of birth, gender, and grade.
7. If the claimant is a student, enter the parent's name and work phone number.
8. Indicate the nature of the injury, place of the accident, and body part injured by selecting the appropriate options provided.
9. Provide a detailed description of the incident and/or injury in the allocated space. Attach additional information if necessary.
10. Answer whether efforts were made to contact the parent/guardian and whether first aid was administered, including the name of the person who administered it.
11. Indicate the follow-up actions taken, such as whether the student was sent home, to a physician, or to a hospital.
12. Confirm if the student is covered by Student Accident Insurance, and if so, include the company name, address, and phone number.
13. If medical treatment was rendered, provide the name and address of the doctor or hospital. Attach any relevant medical bills.
14. List any witnesses to the incident by providing their names, addresses, and phone numbers.
15. Finally, sign and date the report, ensuring that the name of the person completing the report is accurately recorded.
16. Once all fields are filled, save changes, and proceed to download, print, or share the form as required.

Complete your Accident Report Form online today to ensure all necessary information is documented.