Forms | Minor Injury Notification Form

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Free Download And Print Health And Safety Form

Here’s a free Minor Injury Notification form you can use to inform parents about bumps, scrapes, scratches that don’t require a Serious Injury Report Form. Just print it, cut it in half, and put it to work in your program.

If you use this document in your program, please let us know how it works for you and share ideas for improvements in the comments.


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Jeff is an early learning speaker, toymaker, podcaster, content creator, author, and founder of Playvolution HQ who is really bad at getting his picture taken.

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