Get Civilian Burn Form

Filling out the Civilian Burn Form accurately is crucial for documenting burn incidents and ensuring appropriate responses. This guide will provide a clear, step-by-step approach to completing the form online, suitable for all users, regardless of their experience level.

Follow the steps to complete the Civilian Burn Form online

1. Press the ‘Get Form’ button to obtain the Civilian Burn Form and open it in your preferred online editor.
2. Enter the date of the burn in the designated field.
3. Provide the alarm time using a 24-hour format.
4. Input the age of the person affected by the burn.
5. Indicate the victim's name in the specified field.
6. Detail the parts of the body burned or the percentage of body surface area affected.
7. Fill in the street address where the burn incident took place.
8. Enter the victim’s home address, including street, city, and zip code.
9. Name the fire department involved in the incident.
10. Provide the fire department identification number (FDID).
11. Name the reporting person who is completing the form.
12. Specify the reporting agency associated with the incident.
13. Input the phone number of the reporting person.
14. Select the type of burn by checking one of the boxes provided.
15. Determine the severity of the burn by checking one of the options.
16. If applicable, describe the cause of the fire.
17. Indicate whether a detector was present using 'Y' for yes or 'N' for no.
18. Specify if the detector operated during the incident.
19. Identify the room where the burn originated.
20. Include any remarks or additional details in the provided space.
21. Indicate the hospital where the victim was transported.
22. Once all fields are complete, review the form for accuracy. You can save your changes, download a copy, print the form, or share it as needed.

Complete and submit your Civilian Burn Form online to ensure prompt action and support.