Oregon Episcopal School

ACCIDENT/INCIDENT REPORT FORM

This form needs to be completed within 24 hours of an accident or incident If a dorm student is involved. We are required to report incidents to DHS if a dorm student within 24 hours.
Is this report for an accident or to report a safety concern?

If this is related to something that happened to a dorm student use the residential options:

-- Res Dorm Incident is related to behavior that would need to be reported to DHS

-- Res Dorm Accident is related to an injury that may have happened to a dorm student *