Get the free CFS 119-A Unusual Incident Disposition Form - State of Illinois - state il
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1 CFS119-A (Rev. 10/01) Unusual Incident Disposition Form Disposition Sign-off Date: / / Form Completed By: UIR Number: Party Dispositioned: A. Supervisor (CFS or POS) Name, Case ID×, Provider ID×,
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What is cfs 119-a unusual incident?
CFS 119-A unusual incident refers to a specific form used to report unusual incidents.
Who is required to file cfs 119-a unusual incident?
The individuals or entities responsible for the care and supervision of a person involved in the unusual incident are required to file CFS 119-A.
How to fill out cfs 119-a unusual incident?
To fill out CFS 119-A, you need to provide relevant details about the incident, including date, time, location, description, and any related documents or evidence.
What is the purpose of cfs 119-a unusual incident?
The purpose of CFS 119-A is to ensure that unusual incidents are properly documented and reported for analysis and appropriate action.
What information must be reported on cfs 119-a unusual incident?
CFS 119-A requires information such as the nature of the incident, individuals involved, witnesses, injuries (if any), and actions taken following the incident.
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