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CRITICAL INCIDENT REPORTING FORM North Carolina Division of Social Services Regulatory and Licensing Services Attention: This form must be completed by agency staff and submitted to the North Carolina
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How to fill out policiesncdhhsgovdivisionalsocial-servicescritical incident reporting form

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To fill out the policies.ncdhhs.gov/divisional/social-services/critical incident reporting form, follow these steps:
02
Start by opening the form in your preferred web browser.
03
Read the instructions carefully to understand the purpose and requirements of the form.
04
Provide your personal information, including your name, contact details, and position/job title.
05
Identify the date and time of the critical incident you are reporting.
06
Describe the critical incident in detail, providing as much information as possible.
07
Specify the individuals involved, including their names, roles, and any other relevant identifiers.
08
Explain the actions taken during and after the incident, including any emergency measures
09
Attach any supporting documentation, such as photos, reports, or witness statements, if required.
10
Review the form to ensure all information is accurate and complete.
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Submit the form by clicking the designated submit or send button.
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Save a copy of the submitted form for your records.

Who needs policiesncdhhsgovdivisionalsocial-servicescritical incident reporting form?

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The policies.ncdhhs.gov/divisional/social-services/critical incident reporting form is required by individuals working in the social services division of NCDHHS (North Carolina Department of Health and Human Services). This may include social workers, case managers, supervisors, or any other staff members involved in reporting critical incidents related to social services.
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The policiesncdhhsgovdivisionalsocial-servicescritical incident reporting form is a document used to report critical incidents in the social services division.
All employees and service providers in the social services division are required to file the form.
The form must be completed with detailed information regarding the critical incident, the individuals involved, and any relevant actions taken.
The purpose of the form is to ensure that critical incidents are properly documented, investigated, and addressed within the social services division.
The form requires information such as the date, time, location of the incident, description of the incident, and the individuals involved.
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