PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DCYF Form 15-941
for the current year.
DCYF Form 15-941 Child Care Injury / Incident Report - Washington
What Is DCYF Form 15-941?
This is a legal form that was released by the Washington State Department of Children, Youth, and Families - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DCYF Form 15-941?
A: DCYF Form 15-941 is a Child Care Injury/Incident Report used in Washington.
Q: Who is required to fill out DCYF Form 15-941?
A: Child care providers in Washington are required to fill out DCYF Form 15-941.
Q: What is the purpose of DCYF Form 15-941?
A: The purpose of DCYF Form 15-941 is to report any injuries or incidents that occur in child care settings.
Q: What information is included in DCYF Form 15-941?
A: DCYF Form 15-941 includes details about the child, the incident or injury, and any medical treatment provided.
Form Details:
- Released on October 1, 2019;
- The latest edition provided by the Washington State Department of Children, Youth, and Families;
- Easy to use and ready to print;
- Available in Somali;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of DCYF Form 15-941 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.
