J. Incident Report Form

TYPE OF INCIDENT:                                                         

LOCATION:                                                                  

DATE:                                TIME:  ____________ ____ A.M.        P.M.

PERSON REPORTING INCIDENT:  ____________________________________________                                                

COMMAND POST MANNED BY:   ____________________________________________

TYPE OF RESPONSE: SHELTERING:                                YES             NO ___       

EARLY DISMISSAL:                      YES             NO ___       

EVACUATION:                               YES             NO ___         

SCHOOL CANCELLATION:             YES            NO ___   

NOTIFICATIONS: TELEPHONE # YES NO TIME
Superintendent 315-692-1200
Assistant Supt. Personnel 315-692-1212
Assistant Supt. Instruction 315-692-1202
Assistant Supt. Special Services 315-692-1203
Assistant Supt. Business Services 315-692-1221
Wellwood Building Administrator 315-692-1300
High School Bldg. Administrator 315-692-1910
Eagle Hill Building Administrator 315-692-1400
Enders Road Bldg. Administrator 315-692-1500
Fayetteville Elem. Bldg. Admin. 315-692-1600
Mott Road Bldg. Administrator 315-692-1700
Immaculate Conception Principal 315-637-3961
SonShine Daycare Center 315-682-8799- fax
Director of Transportation 315-692-1218
Director of Facilities 315-692-1250
Food Service Manager 315-692-1809
Fire Department 911
Police (local) 911
Police (state) 315-457-2600
Onondaga County Sheriff 315-425-2111
American Red Cross 315-234-2200
County Emergency Mgt. Office 315-435-2525
County Health Department 315-435-3648
Dept. of Environmental Conservation 1-800-457-7362
Radio Station Operating Proc.

SUPERINTENDENT:  ________________________________________ (Signature)