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Incident Report

Incident Report

Please complete this form for any incident, including accident or injury.

This report must be completed within 24 hours of incident.  Submit to Principal.  Principal keeps a copy and the original is submitted/scanned for the Business Operations Manager or designee.  After submission to Business Operations Manager or designee, no further changes to this report will be allowed.  Complete new form if incident continues to unfold.
1. Do you agree that information stated on this report is true to the best of our knowledge? *This question is required.
2. About the Incident *This question is required.