Get Record Of Unusual Incidents And Accidents Record Of Unusual Incidents And Accidents - Broward

This guide provides detailed, step-by-step instructions for completing the Record of Unusual Incidents and Accidents form for child care providers in Broward County. It is designed to help users efficiently navigate the online process, ensuring that all necessary information is accurately recorded.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to access the form and open it in the online editor.
2. Enter the name of the child care provider in the designated field.
3. Input the name of the child involved in the incident or accident.
4. Specify the age of the child.
5. Fill in the date the incident or accident occurred.
6. Record the exact time of the incident or accident.
7. Indicate the place where the incident or accident took place.
8. Provide a detailed description of the incident or accident.
9. Describe the nature of any injury sustained.
10. List any witnesses to the incident or accident.
11. Describe what actions were taken immediately following the incident.
12. State whether the parent or guardian was contacted regarding the incident.
13. Document the time and manner in which the parent or guardian was contacted.
14. List any other persons contacted about the incident.
15. Outline any medical treatment or first aid that was provided.
16. Print and sign your name as the reporter of the incident.
17. Include your title and date of reporting.
18. Print and sign the name of the owner or director, along with their title and date.
19. Print and sign the name of the parent or guardian, including their title and date.
20. Once all fields are completed, you can save changes, download, print, or share the form.

Complete your documents online today to ensure proper reporting and compliance.