In Case Of an Incident or Accident

In Case Of An Incident or Accident

Immediately remover the dog from the area.

Get help for the person who has been injured.

Notify the facility about the incident.

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:

________________________________________________________________________________________________