License Exempt Provider Serious Injury Report

         
License Exempt Provider Serious Injury Report
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Highlights

 
GradesFive's, Four's, Infant/Toddler, Kindergarten, Mixed Ages, Preschool, School Age, Three's, Two's
 
Pages1
 
TypePDF
 
 
PriceFree
 

Description

Use this official reporting form to document serious injuries or deaths that occur in a license-exempt child care setting serving children who receive child care subsidy. The form includes incident details, injury type, hospital involvement, parent notification, and reporting instructions for the Child Development and Care office. #SeriousInjuryReport #ChildCareSafety #LicenseExemptProvider #IncidentReporting #ChildCareSubsidy #HealthAndSafety #ProviderForms #ECE
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