Incident Reporting Form & Policy
Animal Shelter Program – Charity Helpers Foundation
Document ID: CHF-IRF-015
Date: March 26, 2025
This policy and form are to be used by any participant in the Animal Shelter Program under Charity Helpers Foundation (EIN: 873593600) to report major incidents involving safety, animal welfare, or serious operational issues.
To maintain transparency, protect animals and people, and ensure appropriate response to incidents that could impact the health, safety, legal standing, or public image of the shelter or the foundation.
This form must be completed within 24 hours of any of the following:
If the Program Lead is involved in or unable to respond to the incident, the form should be sent directly to the Foundation at: [Insert email/contact info]
Type of Incident (check all that apply):
Describe the Incident in Detail:
Names of Involved Individuals (if known):
Immediate Actions Taken:
Was emergency assistance required? [ ] Yes [ ] No
If yes, provide details: ____________________________________________
Person Reporting: __________________________
Date: __________________
Program Lead (if applicable): _______________________
Date Received: __________________
For Internal Use – CHF Follow-Up Notes: