# Daycare Incident Report Form Template

> A free daycare incident report form for childcare staff. Record a child's injury, bite or illness, first aid given and when parents were told, with photos.

Staff record what happened to the child, when and where, the first aid given, who saw it, and how the parent was told, then sign. Every report is saved with the time it was signed.

Canonical: https://reuily.com/templates/daycare-incident-report-form
Use this template: https://reuily.com/form/from-template/daycare-incident-report-form
Collections: Requests & Intake, Education, Childcare, Operations
Last updated: 2026-10-24

## Questions

- Question 1: What's your name? (Short Text, required)
- Question 2: What's your work email? (Email, required)
- Question 3: What's the child's full name? (Short Text, required)
- Question 4: Which room or group is the child in? (Short Text, optional)
- Question 5: What type of incident was it? (Single Choice, required). Options: Injury; Bite; Illness; Behavior; Other
- Question 6: When did it happen? (Date, required)
- Question 7: What time did it happen? (Time, required)
- Question 8: Where did it happen? (Short Text, required)
- Question 9: What happened? (Long Text, required)
- Question 10: What first aid or care was given? (Long Text, optional)
- Question 11: Who saw it happen? (Short Text, optional)
- Question 12: How was the parent told? (Single Choice, required). Options: In person at pickup; Phone call; Text or app message; Not yet
- Question 13: If the parent has been told, what time was it? (Time, optional)
- Question 14: Add photos if helpful (File, optional)
- Question 15: Sign to confirm this report is accurate (Signature, required)

Signing records the signer's consent, email, IP address, browser and signing time, and each signer can download a signed PDF copy.

## Common uses

- Daycares and preschools
- Home daycares
- After school and camp programs

## Key features

- Injury, bite and illness types
- Parent notification record
- Signed and time stamped

## Frequently asked questions

### What should a daycare incident report include?

The child's name, the date, time and place, what happened, the first aid given, who saw it, and when and how the parent was told.

### How is this different from a workplace incident report?

It's built for childcare: incident types like bites and illness, the child's room, and a record of how parents were told.

### Can staff add photos?

Yes. There's an optional photo upload, and each report ends with the staff member's signature and the time it was signed.