EMS UNUSUAL OCCURRENCE FORM - San Joaquin County 2025

1. Click ‘Get Form’ to open the EMS UNUSUAL OCCURRENCE FORM in our editor.
2. Begin with SECTION A, where you will provide your personal information. Fill in your name, employer, and certification details. Ensure accuracy as this information is crucial for processing.
3. Select the type of occurrence from the provided options such as Communications or Patient Care. If necessary, explain any other occurrences on a separate sheet.
4. Document the incident information including location, date, time, and incident number. This section is vital for tracking and reviewing the event.
5. List all involved parties by entering their names and agencies. Summarize the event clearly in the designated area to provide context.
6. In the recommendations section, offer insights based on your observations during the incident. Your input can help improve future responses.
7. Sign and date the form at the bottom of SECTION A before submitting it to your CQI coordinator within three working days.
8. If you are a CQI Coordinator, complete SECTION B with your recommendations and ensure all required documents are attached before submission.

Start using our platform today to fill out your EMS UNUSUAL OCCURRENCE FORM easily and efficiently!