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Reset FormINJURY / ILLNESS REPORTInstructions: Mail or fax form to:State Form 46347 (R3 / 318) INDIANA STATE DEPARTMENT OF HEALTH Indiana State Department of Health Environmental Public Health Division
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How to fill out camp injury report form

01
Obtain a copy of the camp injury report form. This can usually be done by contacting the camp director or administration.
02
Start by filling out your personal information, including your full name, address, phone number, and date of birth.
03
Provide details about the injury, such as the date and time it occurred, the location within the camp, and a brief description of what happened.
04
Indicate any witnesses to the injury, if applicable.
05
If medical treatment was sought, provide the name of the healthcare provider and any relevant details about the treatment.
06
Sign and date the form to confirm its accuracy and completeness.
07
Submit the completed form to the designated individual or department responsible for handling injury reports at the camp.

Who needs camp injury report form?

01
Anyone who sustains an injury while attending a camp may need to fill out a camp injury report form. This includes campers, staff members, volunteers, and visitors who are involved in any accidents or incidents resulting in injuries.
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The camp injury report form is a document used to report any injuries that occur at a camp.
Camp staff, counselors, or supervisors are typically required to file the camp injury report form.
The camp injury report form should be filled out with details of the injury, the person injured, and the circumstances surrounding the injury.
The purpose of the camp injury report form is to document and track any injuries that occur at the camp for liability and safety purposes.
Information such as the date, time, location, description of the injury, and any witnesses should be reported on the camp injury report form.
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