Vacaville Unified School District

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Reporting Forms for School Accidents/Incidents and District Property & Liability


Form Name

(Completed by district

employees only)

Description of Report

(Please complete and return as soon as possible after the incident)





Email To




School Accident Incident Report


Reporting school accidents, incidents, or injuries involving

students, visitors, etc.

(Please keep signed original and email a copy)

(Do not use to report employee injuries - 

Call Company Nurse)




Vicky Rasmussen



Student Incident Summary Report


Reporting student related incidents involving

student crimes,student safety, or inappropriate behaviors



Laurie Jackson

Removal of Student from

School Campus

by Police/Social Worker


Reporting of student removal from school by Police

or Social Worker



Laurie Jackson


Vehicle Accident Report 


Reporting accidents involving district owned vehicles




Vicky Rasmussen



Property Loss Report 


Reporting loss or damage to district owned property or equipment





Vicky Rasmussen