In Case Of An Incident or Accident
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Immediately remover the dog from the area.
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Get help for the person who has been injured.
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Notify the facility about the incident.
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Immediately notify the accident or incident to Dog With A Purpose, in writing.
You must immediately report any type of incident that may occur to Dogs With A Purpose, for the insurance provider to cover it. Any delay of a few days or more may mean that you have not provided "notification in a timely manner", the insurance provider may then seek to disclaim coverage.
Full Name of Therapy Dog Handler:
_____________________________________________________
Name of Therapy Dog: ID#:
_____________________________________________________ ________________________
Facility's Name: _____________________________________________________________________________
Address: _______________________________________________________________________________
Contact Number: ______________________________________
Date incident:__________________ Time: ______________
Name of person or people involved in the incident:
Name: Contact Number:
______________________________________________________ _________________________
______________________________________________________ _________________________
Names and Phone numbers of people present when the incident occurred:
Name; Contact Number:
__________________________________________________________ _____________________________
__________________________________________________________ _____________________________
__________________________________________________________ _____________________________
__________________________________________________________ _____________________________
Detailed written version of the incident:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
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