student injury report

Required

If injured on school property or during a school sponsored event, no matter how slightly, report the incident immediately to a staff member.  The Academy asks for the employee's assistance in alerting management to any conditions, which could lead or contribute to a student's accident.  After completing this report please submit to the Human Resource Manager with the following information:
Must contain a date in M/D/YYYY format
Student Namerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
right ankle, lower back, left shoulder, etc.
Was this injury sport related?required
N/A if not applicable
N/A if not applicable
N/A if not applicable
N/A if not applicable
N/A if not applicable
Claims for insurance compensation must be filled out within 10 days of the injury and submitted to Human Resources.