Missouri Ozarks Community Action, Inc
Head Start
Transportation Incident Report
For use by Center Staff to report vehicular incidents.
Your first responsiblity is always to protect the safety and welfare of the children and then to report.
If this is an emergency, call the Central Office first, and then make this written report.
Driver's Name: Center: Incident Date:

Type of Incident?

Comments:

Submitted by: E-mail:

The form you are about to submit will be sent to the Director of Facilities and Transportation and the Program Director. You will receive a receipt by return email, this is your documentation that you have appropriately reported the above incident. If this is an emergency call the Director of Facilities and Transportation or the Program Director!

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