Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the Deployment Reporting Form - PA Draft 1-2015pdf and open it in your online editor.
2. Begin filling out the form by entering the name of your agency in the designated field. Make sure to provide the official name as it appears in your records.
3. Record the time and date of the overdose incident. Select either AM or PM as appropriate.
4. Enter the agency incident number to help in tracking the report. This number should be unique for each incident.
5. Input the age and gender of the victim in the provided fields. Make selections based on the available options.
6. Fill in the zip code and county where the overdose occurred. This information is critical for local recordkeeping.
7. In the next section, indicate the city where the overdose took place and the city of the victim's residence.
8. Select the race/ethnicity of the victim from the given options, marking all applicable categories.
9. Check all signs of overdose present at the scene. You can specify additional signs in the provided field.
10. Indicate the suspected drugs involved in the overdose by checking all that apply. Provide details about other drugs where necessary.
11. Document any evidence secured related to the incident by filling out the relevant fields for drugs and paraphernalia.
12. If naloxone was administered, record details, including if someone else administered it and their relationship to the victim.
13. Note the number of doses used and the time it took for the naloxone to take effect.
14. Describe the person's response to naloxone using the provided options.
15. Indicate whether the person survived and check any post-naloxone symptoms they experienced.
16. Detail any additional actions taken during the incident using the checkboxes.
17. Enter the naloxone lot number and expiration date in the designated fields.
18. Provide any notes or comments you feel pertinent to the incident in the comments section.
19. Include the officer's name and badge number, and ensure the officer signs and dates the form where indicated.
20. Lastly, input the contact phone number before proceeding to save, download, print, or share the completed form.

Take the next step and complete your Deployment Reporting Form online today for efficient documentation.