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Incident Reporting Form
Please note - All information provided on this form would be treated as confidential and would be reported to the appropriate authorities.
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* Required
School Name
*
Your answer
Address
*
Your answer
School Phone Number
Your answer
Date of Incident
*
Your answer
Incident Type
Choose
Infrastructure Safety
Child Abuse
Overcrowding
Non-compliance to Covid-19 Safety Protocols
Other
Incident Report
Your answer
Phone Number of Person Reporting
*
Your answer
E-mail of Person Reporting
Your answer
Witnessed By
Your answer
Witness Phone Number
Your answer
Other Information/ Comments
Your answer
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