Get the free Youth Firesetting Incident Referral Form

A form used to record details about youth firesetting incidents for referral to the Fire Prevention Division.

How to fill out youth firesetting incident referral

How to fill out Youth Firesetting Incident Referral Form

1. Start with the header section and provide the date of the referral.
2. Fill in the name of the youth involved.
3. Provide the date of birth and age of the youth.
4. Include the address of the youth's residence.
5. List the names of the guardians or parents.
6. Document the incident details, including the date, time, and location of the firesetting behavior.
7. Describe the circumstances surrounding the incident.
8. Record any witnesses’ names and contacts if applicable.
9. Include any previous incidents of firesetting or related behaviors.
10. Provide information on any services or interventions already in place.
11. Sign and date the form to complete the referral.

Who needs Youth Firesetting Incident Referral Form?

1. Mental health professionals who are assessing youth behavior.
2. Fire departments responding to firesetting incidents.
3. Schools notifying authorities of concerning behaviors.
4. Community organizations that provide youth intervention services.
5. Parents or guardians seeking help for their child.

For pdfFiller’s FAQs

What is Youth Firesetting Incident Referral Form?

The Youth Firesetting Incident Referral Form is a document used to report incidents involving youth who have engaged in firesetting behavior. It is designed to collect information about the incident and the youth's background to assess risk and provide appropriate interventions.

Who is required to file Youth Firesetting Incident Referral Form?

The Youth Firesetting Incident Referral Form is typically required to be filed by professionals such as law enforcement officers, educators, mental health professionals, or social workers who encounter incidents involving youth firesetting behaviors.

How to fill out Youth Firesetting Incident Referral Form?

To fill out the Youth Firesetting Incident Referral Form, gather all necessary information about the incident, including details about the youth involved, the nature of the firesetting incident, any injuries, property damage, and relevant background information about the youth. Complete each section of the form accurately and clearly.

What is the purpose of Youth Firesetting Incident Referral Form?

The purpose of the Youth Firesetting Incident Referral Form is to facilitate communication between agencies and professionals regarding youth who engage in firesetting behavior, enabling a coordinated response and the provision of appropriate services to ensure safety and prevention of future incidents.

What information must be reported on Youth Firesetting Incident Referral Form?

The information that must be reported on the Youth Firesetting Incident Referral Form includes the youth's personal details, description of the firesetting incident, any injuries or damages caused, background information about the youth, and details regarding any previous incidents or known behaviors related to firesetting.