EarlyON Serious Occurence Report

Service providers are responsible for reporting all serious incidents that occur in an EarlyON Child and Family Centre to Niagara Region within 24 hours of becoming aware of the incident.

* = Required

Contact Information

EarlyON Centre Information

Incident Information

:

:


* Type of Incident

    • ,

Describe the Incident
Do not use names, ages or date of birth


* Who has been notified (specify in Actions Taken above)?

Personal Information and Privacy

Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.

Freedom of Information

Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email foi@niagararegion.ca or call 905-980-6000 ext. 3779.

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