Incident Report

Use this form to report any serious injury to player, coach or spectator, property damage or any other serious incident will give you an opportunity to capture facts and contact information before witnesses leave the field . Remember, you must keep all incident reports on file and mail a copy to the NSTC, ATTN: Risk Managament, 12501 S. Isis Ave., Hawthorne, CA 90250.

Incident Reports should be completed by any Region staff witnessing any serious incident involving, but not limited to:

• Injuries
• Threats of bodily harm
• Fighting whether or not a serious injury occurs
• Property damage
• Hospitalization of a participate
• Law enforcement summoned
• Service or notification of pending lawsuit

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