Staff, Student and Volunteer Incident Report

This form is intended to be filled out by SPS staff in the event of an incident of a staff, student or volunteer.

By selecting from the below categories, you will be directed to the appropriate reporting resource.

A copy of the information reported will be shared with your immediate supervisor for additional comments and /or further follow-up.

Please see a summary here for a brief overview of the reporting process.

1. This incident report is being completed by/on behalf of a:

2. Your First Name: *This question is required.

2. Your Last Name: *This question is required.

2. Email Address:
(SPSD email only) *This question is required. This question requires a valid email address.

2. I am filling out this form on behalf of someone else

2. Injured persons first name:

2. Injured persons last name:

2. Principal/Supervisor Name:

2. Principal/Supervisor Email:
(Please ensure that you have entered the correct email) *This question is required. This question requires a valid email address.