Incident Report Form
For confidentiality purposes, all information on this report must be de-identified. Use Child ID numbers only; identify families in association with the Child ID and name as "mom", "dad", etc.; and use initials for staff members and other persons involved, along with their title, e.g. "teacher ML."
If it's an emergency, call 425-917-7705 or 253-778-7705 before completing this form.
More information: Incidents and Findings Notification Procedure