Accident Form 0

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B INTERNATIONAL SCHOOL OF BUSAN

Accident Form
Student’s name:_______________________________ Date:__________

The following accident occurred at school today. It is considered necessary to inform you so that you
are made fully aware of the circumstances surrounding what happened. A copy of this has been kept
on school files.

Time of accident
Place of accident
Record of events
Action taken

Teacher/s involved

If you would like to discuss this matter further, please contact the school to make an appointment with
either the teacher or the Principal.

B INTERNATIONAL SCHOOL OF BUSAN

Accident Form
Student’s name:_______________________________ Date:__________

The following accident occurred at school today. It is considered necessary to inform you so that you
are made fully aware of the circumstances surrounding what happened. A copy of this has been kept
on school files.

Time of accident
Place of accident
Record of events
Action taken

Teacher/s involved

If you would like to discuss this matter further, please contact the school to make an appointment with
either the teacher or the Principal.

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