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Get Incident Report Template School

Location of Incident: Name of Staff Member(s) Who Participated in or Supervised the ESI: Witnesses to Incident: Restraint Start Time: Finish: Total Time: Seclusion Start Time: Finish: Total Time: Check all that apply to this incident: It was necessary to restrain and/or seclude the student due to behavior(s) that presented an imminent risk of harm t.

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