Code No. 507.4 Student Illness or Injury at School

When a student becomes ill or is injured at school, the school district will attempt to notify the student's parents as soon as possible.

The school district, while not responsible for medical treatment of an ill or injured student, will have employees present administer emergency or minor first aid if possible.  An ill or injured child will be turned over to the care of the parents or qualified medical employees as quickly as possible.

It is the responsibility of the principal to file an accident report with the superintendent within twenty-four hours after the student is injured.  Reports will be kept in the administrative office for that year and then filed in the student’s cumulative folder.

Annually, parents are required to complete a medical emergency authorization form indicating the procedures to be followed, if possible, in an emergency involving their child.  The authorization form will also include the phone numbers of the parents and alternative numbers to call in case of an injury or illness.

Approved:  November 17, 1997

Revised/Reviewed: April 22, 2024

Code No. 507.4E1 Accident Report of Student Injury at School

Accident Report of Student Injury at School

 

Parent's Phone Number:_______________________________________________________________________________

Alternate Parent's Phone Number:________________________________________________________________________

Name of Student:_____________________________________________________________      Grade_______________

Address:____________________________________________________________________________________________

Date of Incident:______________________________________________________________________________________            

Location of Incident:___________________________________________________________________________________

Please write a brief description of what occurred:

 

Please list any eye witnesses to the incident (attach their statements, if any, to this report):

 

Please indicate what procedure was taken to resolve the incident:

 

 

___________________________________________                      _____________________________________________________

                           Date                                                                                                      Signature

 

                                                                                                         _______________________________________________________

                                                                                                                                             Title

Accident reports will be completed and returned to the office of the respective principal within 24 hours of the incident by employee witnessing any event involving injury to a student.  The superintendent will receive a copy of the report of any incident involving need for doctor's care or hospitalization.  Reports will be kept in the office for the year and then filed in the student's cumulative folder.