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MYL Incident Report
Please use this form to document any incidents you have encountered.
Be specific, detailed, factual, and objective.
If intervening and confronting a policy violation, please be specific
with information.
Record the incident between 24 and 48 hours after it occurs so all staff members can remember the details accurately and completely.
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* Indicates required question
Name
*
Your answer
Incident Date
*
MM
/
DD
/
YYYY
Details of Incident
(please be as detailed as you can)
*
Your answer
Any witnesses?
(coach, board member, umpire, etc)
*
Your answer
Action taken
*
Your answer
Suggestion to avoid this from happening in the future
Your answer
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