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SEE REVERSE SIDE FOR CLAIM FILING INSTRUCTIONSMyersStevens & Too hey & Co., Inc.1. Report school related injuries to the school within 72 hours 2. Complete this form 3. Attach all bills 4. Mail school
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01
Gather all necessary information about the incident, including the date, time, and location.
02
Document the details of the injury, including the nature of the injury, any witnesses present, and the circumstances surrounding the incident.
03
Complete any required school incident report forms. These forms may vary depending on the school or district, but typically ask for information about the injured student, the type of injury, and a description of how the injury occurred.
04
Submit the completed report to the designated authority at the school, such as the school nurse, principal, or administrator. Follow any specific instructions provided by the school for submitting the report.
05
Keep a copy of the completed report for your records.

Who needs report school-related injuries to?

01
School administrators and staff
02
School nurses or healthcare professionals
03
Parents or guardians of the injured student
04
Relevant authorities or departments within the school or district
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Report school-related injuries to school administration or designated personnel.
School staff members or volunteers who witness or are made aware of school-related injuries.
Fill out the report form provided by the school or follow the school's designated procedure for reporting injuries.
The purpose of reporting school-related injuries is to document incidents, ensure proper medical attention is provided, and track trends for prevention.
Information to be reported includes details of the injury, location, date and time, individuals involved, nature of the injury, and any immediate actions taken.
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