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Y.E.S. Incident Report Form
The incident report form is available to Y.E.S. staff, student leaders and volunteers to share important incident information. Please submit this form within 24-hours if you observe or experience a Y.E.S. accident, injury, site safety hazard or community participant issue.

This form will only be reviewed by the Y.E.S. Coordinator. Check your email for follow-up questions or guidance regarding this issue.

Keep Y.E.S. programs safe and fun for students and community members required information sharing and attention from our entire team.

Thank you for your timely communication!
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Email *
Y.E.S. Program *
Your Name (first, last) *
Name of your community partner or site contact (first, last) *
Did you already communicate this information to the community partner or site contact? *
Are you reporting suspected or disclosed abuse? If so,  please do not record the names of survivors or minors here. The YES Coordinator will follow up to request this information through a more secure platform. *
Name (s) of person injured or involved in the incident.   *
Location where incident took place. If concern developed through virtual engagement (pen pal letter or YES remote programming), please note that here. *
Address where incident took place (if known/relevant). Put "n/a" if this does not apply *
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