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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 the Child Care Injury/Incident Report used in Washington.
Q: When is DCYF Form 15-941 used?
A: DCYF Form 15-941 is used to report any injury or incident that occurs in a child care setting.
Q: Who is required to fill out DCYF Form 15-941?
A: Child care providers or their staff members are required to fill out DCYF Form 15-941.
Q: What information is required on DCYF Form 15-941?
A: DCYF Form 15-941 requires information about the child, details of the injury or incident, and any immediate actions taken.
Q: Is DCYF Form 15-941 confidential?
A: Yes, DCYF Form 15-941 is confidential and is used for internal purposes by DCYF for monitoring and ensuring child safety.
Form Details:
- Released on June 1, 2021;
- 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.
