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Get PA OLTL Incident Reporting Form 2010

Esolution Date Investigation Resolved: Measures implemented to prevent recurrence OLTL Incident Reporting Form.xlsx 4/2010 OFFICE OF LONG-TERM LIVING INCIDENT REPORTING FORM (Complete electronically and email to RA-Incident@state.pa.us) OLTL Use Only Oversight of Reported Incidents Investigation Priority Level Non-Urgent Recommended Investigation Type: Urgent Date of Initial Review Onsite Telephone No Further Action QMMA Investigation Assigned To (Name) 0 (Unit) 0 Investigative Act.

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