1-8 Incident Report Form - Services for People with Disabilities - dspd utah 2025

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The document is an Incident Report Form used by the Utah Division of Services for People with Disabilities (DHS-DSPD). It requires detailed information about incidents involving individuals with disabilities, including personal details, incident specifics, actions taken, and follow-up recommendations. The form captures various types of incidents such as injuries, abuse, and behavioral interventions, ensuring proper documentation and response protocols are followed.

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How to use or fill out 1-8 Incident Report Form - Services for People with Disabilities - dspd utah

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Click ‘Get Form’ to open it in the editor.
Begin by filling in the 'PERSON’S ID' and 'PERSON’S NAME' fields. Ensure all required fields are completed accurately.
Enter the 'TODAY’S DATE', 'DATE INCIDENT STARTED', and 'TIME INCIDENT STARTED'. Use the dropdowns for date selection and input time in AM/PM format.
Provide your name, the incident's end date and time, and details about the support coordinator notification.
In the section regarding those involved, list names and roles of individuals pertinent to the incident, excluding the person receiving services.
Indicate where the incident took place by selecting from options like 'School' or 'Friend’s Home'.
Detail any actions taken post-incident, including notifications made to medical professionals or law enforcement.
Finally, describe the incident in detail, ensuring you include how each person was involved. Sign where indicated.

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Is ADHD considered a disability in Utah?

Utahs Special Education Rules, page 70, defines Other Health Impairment as having limited strength, vitality, or alertness, including a heightened alertness to environmental stimuli, that results in limited alertness with respect to the educational environment, that is due to chronic or acute health problems such as

What is DSPD in Utah?

Click the button below to apply online or call 1-844-275-3773 and choose the Apply for Services option to speak with an intake worker. During the intake process, you will be asked to provide information to the division which demonstrates your qualifying disability in one of the areas that DSPD serves.

What does DSPD Utah do?

The Division of Services for People with Disabilities (DSPD) promotes opportunities and provides supports for people with disabilities to lead self-determined lives by overseeing home and community-based services for more than 6,500 people who have disabilities.