Child care incident report 2026

1. Click ‘Get Form’ to open the Child Care Incident Report in the editor.
2. Begin by entering the Provider Name and Provider ID at the top of the form. This identifies your facility.
3. Fill in the Name and Age of the Injured Child, along with the Date and Time of the Incident. Select the child's gender.
4. Indicate if emergency services were called by checking 'Called 911' or 'Called Poison Control'.
5. In the 'Type of Injury / Incident' section, check all applicable boxes to describe what occurred.
6. Specify which Body Parts were affected by selecting from the provided options.
7. Detail any Professional Medical Treatment given, including First Aid or EMT treatment, if applicable.
8. Describe where the injury occurred (e.g., Indoor, Outdoor) and provide a brief summary of the incident in the designated area.
9. List names of staff present and/or witnesses, and ensure Parent/Guardian contact information is filled out accurately.
10. Finally, obtain signatures from both Parent/Guardian and Licensee/Staff before saving or sharing your completed report.

Start using our platform today for free to streamline your child care incident reporting!