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WTCSB - Western Tidewater Community Services Board 2026
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- Click ‘Get Form’ to open the WTCSB Incident Report in the editor.
- Begin by entering the 'Staff Name' and 'Today’s Date' at the top of the form. This information is crucial for identifying who completed the report.
- Next, fill in the 'Date of Incident' and check all applicable boxes regarding client involvement and incident types, such as 'Client Injury' or 'Traffic Accident Involving agency vehicle'.
- Specify the location of the incident if it occurred on WTCSB property. If you select 'other', provide an address in the designated field.
- Identify any safety techniques used during the incident by checking relevant boxes, such as 'Punch Block' or 'Restrain w/ hands from front'.
- If there were injuries associated with a client, check all applicable injury types listed under that section.
- Determine and select the appropriate ‘Level’ of the incident based on DBHDS definitions provided in the form.
- Finally, provide a detailed description of events related to the incident in the space provided at the end of the form.
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