DEATH OR SERIOUS INJURY REPORT - Home Department of Human - dhs state mn 2026

1. Click ‘Get Form’ to open the DEATH OR SERIOUS INJURY REPORT in the editor.
2. Begin by filling out the sender information section. Enter your name, program details, and contact information accurately.
3. Select the appropriate 245B Service Type by checking one of the options provided. Ensure that you only select services your program is licensed to provide.
4. Attach any necessary documentation or reports as required by the form instructions before proceeding.
5. Review all entered information for accuracy and completeness. Make any necessary edits using our platform's editing tools.
6. Once satisfied, save your completed report and follow the instructions to fax or mail it to both the DHS Division of Licensing and the Ombudsman.

Start using our platform today for free to streamline your document completion process!