Incident Report

An Incident Report should be completed for every incident (regardless of severity) involving a child or volunteer participating in CYO.  Click on the icon above. The 2-page form must be printed after completion and re-scanned to email (it will not save any changes). See further instructions (to the right).

Incident Report Instructions

On the form, the Parish/Reporting Entity is “Christ the King.”  Please fill it out as completely as possible, and ensure that the child’s information is correct. Once completed, the form should be sent via fax (516-741-1700) or email (drvcfirstreports@networkadjusters.com) to “Network Adjusters DRVC First Reports,” and a copy sent to Anne Amico (ctkcyo@ctkrcc.org).