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CON Applications and Forms. Georgia Criminal History Check System (GCHEXS) Access Request Form. Request for an Administrative Appeal. Grants Administration Frequently Asked Questions. Grant Announcements. Grants Email Registration. Awarded Grants. Grant Archives. Facility Incident Report Form.
To report a fire incident, please download and complete the Facility Fire Incident Report form (GID-339C-SF) and email it within 24 hours to [email protected]. Click here to access the Facility Fire Incident Report form (GID-339C-SF) Fire Department Reporting (GFIRS)
203.03 (IIA04-0002) Attachment 1, Incident Report Form. 203.03 (IIA04-0002) Attachment 2, Incident Report Supplement Form. 203.05 (IIA03-0001) Official Operating Capacities. 223.01 (IIC02-0005) Oversight Committee. 505.01 (IVF01-0005) Communications Center Policy Statement. 505.02 (IVF01-0006) Communication Center GCIC User Agreement.
The Incident Intake Information Form is the format that is "acceptable to the department" and is to be used when reporting all facility/agency self reported incidents. Licensed facilities are to download the Incident Intake Information Form to their computer and save it.
Since October 1, 2020, the web-based HCBS Incident Reporting System has been used statewide by providers serving Medicaid Members enrolled in the Independent Care Waiver Program and the Elderly and Disabled Waiver Program.
The (GFIRS) collects information on a full range of fire department activity to include information regarding types of fires, injuries and fatalities for civilian and fire service personnel, EMS, hazardous materials, Wildland fires and apparatus and personnel. The GFIRS is modular in design.
What is a facility compliance report? A facility compliance report provides information about how well a facility meets state rules and regulations, federal regulations (nursing homes, home health agencies, and end state renal disease facilities) or voluntary accreditation standards (hospitals).