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FOR BHF USELL1 2010 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2010)I.DPH License ID Number:
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Anyone who has witnessed or been involved in an incident where they provided assistance to someone in need may need to fill out a Good Samaritan - Flanagan form. This form is typically used to document the details of an incident and the actions taken to provide aid or prevent further harm. It can be required by legal authorities, insurance companies, or other parties involved in the incident for investigation or claim purposes.
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The Good Samaritan - Flanagan refers to a legislative provision in certain jurisdictions that offers legal protection to individuals who provide assistance to those who are injured or in peril, encouraging bystanders to help without fear of legal repercussions.
Typically, individuals who provide life-saving assistance during emergencies, such as first responders or ordinary citizens acting in good faith, may be required to file under the Good Samaritan - Flanagan statute to seek legal protection.
To fill out the Good Samaritan - Flanagan form, individuals need to provide their personal details, describe the incident, outline the assistance provided, and submit any required documentation, ensuring that all information is accurate and complete.
The purpose of the Good Samaritan - Flanagan is to encourage individuals to assist others in emergency situations by providing legal immunity from lawsuits, thus promoting altruism and community support.
Information that must be reported includes the nature of the emergency, details about the victim(s) assisted, actions taken during the assistance, and any witnesses present at the time of the incident.
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