Accident/Incident Reporting Procedure
An Accident Incident Report Form with specific information and all details must be completed
immediately:
after an accident or incident that requires more than routine first-aid care occurs or
when there has been an incident that requires special attention.
For emergencies, alert GSWPA Corporate office: 1-800-248-3355 (M-Th 8:30 -5:00, Fri 9:00 -
12:00) or 1-877-359-7878 (after business hours).
For council-sponsored/approved events:
o
o
Submit a copy of the completed Accident Incident Report Form (signed and
dated) to your GSWPA staff contact and submit the original Accident Incident
Report Form within twenty-four (24) hours to:
Girl Scouts Western Pennsylvania, Executive Assistant, 30 Isabella Street,
Suite 107, Pittsburgh, PA 15212
Or email [email protected]
Or fax 412-391-4413
Submit appropriate bills and insurance statements with the Mutual of Omaha Claim
Form (if applicable) to Executive Assistant, 30 Isabella Street, Suite 107,
Pittsburgh, PA 15212.
Please review the Insurance Claim Procedure. Form can be found at gswpa.org.
o
For guests/volunteers/visitors to any of the GSWPA properties/offices:
o
o
Keep a copy of the completed Accident Incident Report Form (signed and dated)
and submit the original Accident Incident Report Form within twenty-four (24)
hours to:
Girl Scouts Western Pennsylvania, Administrative Assistant, 30 Isabella
Street, Suite 107, Pittsburgh, PA 15212
Or email [email protected]
Or fax 412-391-4413
Submit appropriate bills and insurance statements with the Mutual of Omaha Claim
Form (if applicable) to Executive Assistant, 30 Isabella Street, Suite 107,
Pittsburgh, PA 15212.
Please review the Insurance Claim Procedure.