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1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the recipient's name in the designated fields for 'Last' and 'First'. Ensure accuracy as this information is crucial.
3. Fill in the recipient's address and phone number. This helps maintain clear communication regarding any occurrences.
4. Provide the date of occurrence and select the appropriate service type from the options available, such as PCS or ADHC.
5. In the 'Medical Intervention Required' section, indicate if there was an injury or illness, and specify details about any medical attention needed.
6. Complete sections on abuse or harassment if applicable, ensuring to detail the type of incident and involved parties.
7. Finally, review all entries for completeness before submitting your form to ensure all necessary information is captured accurately.

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