South Portland (Maine) Police Department - HomeFacebook 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Injured/Ill Student Information' section. Enter the first name, last name, date of birth, grade, school attending, and parent/guardian contact details including phone number and address.
  3. Proceed to the 'Accident/Incident Information' section. Indicate whether the event was related to extracurricular sports, and provide the date, time, and specific location of the event.
  4. List any teachers, staff members, or coaches present during the incident. Include details about other students involved and witnesses.
  5. Describe how the accident or medical event occurred in detail. Select the nature of injury or illness from the provided options.
  6. Indicate which body part was affected and specify if it is right or left. Document any immediate actions taken in response to the incident.
  7. Complete the 'Action/Treatment/Notification' section by noting who provided treatment and who was notified about the incident.
  8. Finally, ensure that a hard copy of this form is signed by a reporter in the Main Office by the end of the next school day.

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