Missouri Ozarks Community Action, Inc Head Start Incident Report - Child Your First Responsibility is to Protect the Welfare of the Children and then to Report. Please report in the detail section what happened, who was involved, when it happened, where it happened, what caused it and/or how it happened and if the parents have been notified. DO NOT include names of more than the single child effected, as a copy of this report will be given to parents. If more than one child was involved send seperate reports for each child. Child's Name: What kind of incident are you reporting? Unattended Child Injured Child Accident Parental Complaint Other Details of incident: Your Name: Your e-mail Address: Your Center: Select Belle Camdenton Crawford Co Dixon Eldon Iberia Lebanon Linn Creek Osage Rolla Gasconade Co St James Tri-County Waynesville The form you are about to submit will be sent directly to the Program Director. You will receive a receipt and a report to parents by return email. Head Start Main Page