Vanderburgh County

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Accident/Incident Report - 4-H

December 9, 2019

4-H Accident/Incident Report

This form is to be completed whenever a 4-H member, volunteer, or spectator who is participating in or attending an approved Cooperative Extension Service event/activity receives an injury which requires medical or dental attention.

If such an injury occurs, contact the Extension Office or Extension personnel immediately.

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