Get Az Girl Scouts Ad-44 2013-2026

The AZ Girl Scouts AD-44 form is essential for reporting incidents involving injuries or illnesses. This guide will provide you with detailed, step-by-step instructions to ensure accurate completion of the form online.

Follow the steps to complete the AZ Girl Scouts AD-44 form online effectively.

1. Click the ‘Get Form’ button to access the AD-44 form and open it in an online editor.
2. Indicate the type of individual affected by the incident by selecting one of the options: 'Troop/Group Member,' 'Employed Staff,' 'Volunteer,' or 'Other.' Remember to include the Troop/Group number if applicable.
3. Complete the sections that require the neighborhood, name of the person ill or injured, date and time of the injury, and their contact phone number.
4. Fill out the last four digits of the Social Security number and the complete address, including city, state, and zip code.
5. If the individual is a minor, enter the parent or guardian's name along with their contact information, including home and business phone numbers.
6. Provide a detailed description of the illness or injury, including the location and the activity the individual was engaged in at the time of the incident.
7. Indicate whether the parents or guardians of a minor were notified by selecting 'Yes' or 'No' and entering the date of notification.
8. State whether treatment was administered on site by marking 'Yes' or 'No' and filling in the pertinent details such as date, time, and by whom treatment was given.
9. Document where the individual was released to and whether treatment was provided elsewhere, specifying the location if applicable.
10. Indicate if the person was retained overnight in a hospital by selecting 'Yes' or 'No' and providing the name of the facility.
11. Fill in the name of the physician or health care service who provided assistance and record the relevant release dates and locations.
12. Make any additional comments in the comments section to clarify any essential points that have not been captured.
13. Include the names and dates of witnesses and the individual filling out the form, along with their title and signature confirming the accuracy of the information provided.
14. Finally, ensure that the document is saved with all changes, and download, print, or share the form as needed for submission. Remember to fax the completed form to employee services within 24 hours.

Complete your documents online today for efficient management of your records.