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  • 2 Incidental Report

    Uploaded by

    Cathlyn Quiambao
    11 views2 pages
    1) This is an incident report form from a school's guidance and counseling office. 2) It collects information about an incident including date, time, location, people involved, witnesses, and a brief description. 3) The form is to be prepared by the student and noted by the guidance counselor or their designate.

    Original Description:

    Original Title

    2 INCIDENTAL REPORT

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    1) This is an incident report form from a school's guidance and counseling office. 2) It collects information about an incident including date, time, location, people involved, witnesses, and a brief description. 3) The form is to be prepared by the student and noted by the guidance counselor or their designate.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    11 views2 pages

    2 Incidental Report

    Uploaded by

    Cathlyn Quiambao
    1) This is an incident report form from a school's guidance and counseling office. 2) It collects information about an incident including date, time, location, people involved, witnesses, and a brief description. 3) The form is to be prepared by the student and noted by the guidance counselor or their designate.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    School

    Department of Education
    Logo
    Region III-Central Luzon
    here
    Schools Division of Pampanga
    (NAME OF SCHOOL)
    School Address
    Guidance and Counseling Office
    Form No. ___ INCIDENTAL REPORT

    Date and Time Reported: Place, Date and Time of incident:

    (Petsa at Oras ng Ini-ulat) (Lugar, Petsa at Oras ng Pangyayari)

    Person/s Involved: Witness/es:

    (Mga may kinalaman) (Saksi/Mga nakakita ng pangyayari)

    Brief Description of the Incident/Offense:


    (Maikling salaysay tungkol sa pangyayari)

    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _______________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _______________________________________________________________________________

    Prepared by: Noted:

    __________________________________ __________________________________
    Name, Grade Level and Section Guidance Counselor/Designate

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