School bus accident / incident report
Date
Time
Location (street, town)
Bus number
Route
Driver
Students on board
Weather / road
What happened
Other vehicles
| Driver's name | Phone | Plate | Insurance company & policy |
|---|---|---|---|
Injuries
| Name (student or other) | Injury | Treatment / taken to |
|---|---|---|
Witnesses
| Name | Phone |
|---|---|
Police department
Report number
Officer's name
Who was told
- Dispatch / the office
- Police (911)
- EMS
- The school
- Parents
- Photos taken
- Drug and alcohol test done (if required)
Driver's signature
Supervisor's signature
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