Daycare Child Biting Incident Report Form
Please complete this form to document details of a child biting incident. All information should be accurate and factual.
Date of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
*
Name of Child Who Bit
*
First Name
Last Name
Name of Child Who Was Bitten
*
First Name
Last Name
Brief Description of the Incident
*
Actions Taken by Staff
*
Was a parent or guardian notified?
*
Yes
No
Staff Member Reporting
*
First Name
Last Name
Witness Names (if any)
Submit Report
Should be Empty: