Get Lic 802

Filling out the Lic 802 form is an essential process for documenting complaints received by the licensing office. This guide will walk you through each section of the form, ensuring you have the information needed to complete it accurately.

Follow the steps to fill out the Lic 802 form online effectively.

1. Press the 'Get Form' button to obtain the Lic 802 form and open it in your preferred online editor.
2. Begin by providing the complainant's name in the designated field, ensuring clarity in the information provided. Indicate how the complaint was reported, such as in person, by telephone, by letter, or as urgent.
3. Fill out the facility information section. Include the facility name, street address, city, and zip code. Also, provide both the day and evening telephone numbers, including area codes.
4. Describe your relationship or involvement with the facility in the designated field. Indicate whether an abuse report was required and filed by selecting 'Yes' or 'No'.
5. Identify the nature of the complaint by separating the allegations and assigning relevant complaint codes from the provided list. You can choose from categories such as physical abuse, sexual abuse, neglect, and others.
6. Detail the allegations by providing thorough descriptions of the incident(s) in the 'Details of Allegation(s)/Description of Incident(s)' section.
7. Complete the pre-investigation and post-investigation contact sections by noting the date, person contacted, and how you communicated (telephone, letter, or in person).
8. If necessary, summarize any other contacts or reports related to the complaint in the designated section.
9. Once all fields are completed, review the form for accuracy before submitting it. You may save your changes, download a copy, print it, or share the completed form as needed.

Begin filling out your Lic 802 form online today to document important complaints accurately.