South Portland (Maine) Police Department - HomeFacebook 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the INJURED/ILL STUDENT INFORMATION section. Enter the first name, last name, date of birth, grade, school attending, parent/guardian name, phone number, and address.
3. Proceed to the ACCIDENT/INCIDENT INFORMATION section. Indicate whether the event was due to extracurricular sports by selecting 'Yes' or 'No'. Fill in the date and time of the event, along with a specific location.
4. List any teachers, staff, or coaches present during the incident and note other students involved and witnesses. If applicable, provide details on when the accident was reported.
5. Describe how the accident/injury occurred and specify the nature of injury/illness by checking relevant options.
6. Indicate which body part was affected and what immediate actions were taken in response to the incident.
7. Complete the ACTION/TREATMENT/NOTIFICATION section by providing treatment details and notifying relevant parties.
8. Finally, ensure that a hard copy is signed by the reporter in the Main Office by the end of the next school day.

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