DuBois Area School District: Home 2025

1. Click ‘Get Form’ to open the DuBois Area School District: Home document in the editor.
2. Begin by filling out the 'Time and Location' section. Enter the incident/accident date, time (AM/PM), and detailed location including street address, building, city, county, and state.
3. In the 'Persons Injured' section, provide names, addresses, telephone numbers, ages, and extent of injuries for each individual involved. Ensure all fields are completed accurately.
4. For 'Property Damage', list the owner's name and social security number along with their contact information. Describe the property damage and provide an estimated cost.
5. Detail the incident/accident in the designated section. Be clear and concise to ensure accurate reporting.
6. List any witnesses by providing their names, addresses, and telephone numbers in the appropriate section.
7. Complete the 'Claim Information' section with details about the employee involved, including their working title and supervisor's information.
8. Indicate how you were notified of a possible claim and whether a claim is being made by selecting yes/no/uncertain options.
9. Finally, fill out your details in the 'Reported By' section including your agency and business telephone number before submitting.

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