Vacaville Unified School District

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Accident/Insurance

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)

 

User

    

 

Email To

 

 

Confidential

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)

 

Site/Dept

 

Jenni Yarwood

 

 

Student Incident Summary Report

 

Reporting student related incidents involving

student crimes,student safety, or inappropriate behaviors

Site/Dept

 

Laurie Jackson

Removal of Student from

School Campus

by Police/Social Worker

 

Reporting of student removal from school by Police

or Social Worker

Site/Dept

 

Laurie Jackson

 

Vehicle Accident Report 

 

Reporting accidents involving district owned vehicles

 

Site/Dept

 

Vicky Rasmussen

 

 

Property Loss Report 

 

Reporting loss or damage to district owned property or equipment

 

Site/Dept

 

 

Vicky Rasmussen