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AYSO Region 88 Glendale

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Incident Reporting

The purpose of the AYSO Incident Report Form is to capture all pertinent facts and contact information, while the information is readily available, whenever there is a serious incident involving AYSO participants, activities, facilities or property.

When to file an Incident Report form?

Incident report forms should be completed by any coach, referee or Regional staff member witnessing any serious incident involving, but not limited to:

Injury
Threats of bodily harm
Fighting whether or not a serious injury occurs
Property damage
Hospitalization of a participant
Law enforcement summoned
Service or notification of a pending lawsuit

Send the completed Incident Report to:

Safety and Risk Management Director
Ross Paulson
2515 Canada Blvd.
Glendale CA 91208
Email: [email protected]

Please note: An Incident Report is required if you plan to utilize AYSO Region 88’s insurance claim. Parents are responsible to inform and request a copy of the incident report from their Coach, Safety Director, and Regional Commissioner.

Click this link for the: AYSO Incident Report Form