Public Schools of
San Luis Obispo County

STUDENT/VISITOR INJURY OR ILLNESS INCIDENT REPORT (PARENTS REPORT)

You may use this report to document a possible injury or illness of a student or district visitor. This report is designed to be completed by a staff member and given to a parent or visitor upon their request. Always follow your district policies and procedures and get the approval from the site administrator before releasing information.

Required fields are denoted with *.

You may print this report or send a copy to the Parent.

You may print this report or send a copy to up to two others (follow your district policy). Carefully check to confirm correct email addresses before submitting this report.

Important Note: Some school districts filter their emails for spam. Make sure your district's spam filter will accept email from safetyreport@slosipe.org.