State of wisconsin f 62470 fillable 2026

1. Click ‘Get Form’ to open the state of Wisconsin F-62470 fillable form in the editor.
2. Begin by entering the deceased client's name, date of birth, and sex in the designated fields. Ensure accuracy as this information is crucial for reporting.
3. Fill in the admission date and ethnicity by selecting the appropriate options. This section helps categorize the report correctly.
4. Indicate whether the death is reportable to a coroner or medical examiner by checking 'Yes' or 'No'. This decision is vital for compliance with state regulations.
5. Complete sections A, B, and C regarding suicide risk factors, psychotropic medication usage, and physical restraints. Answer each question truthfully to provide a comprehensive overview.
6. Once all fields are filled out, review your entries for accuracy before submitting. Attach any necessary documentation as required.
7. Submit the completed form via fax to the appropriate Division of Quality Assurance contact listed on page 5 of the form.

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