Get Dos Ds-1663 2018-2025

The DoS DS-1663 form is essential for reporting mishaps resulting in injuries, illnesses, or property damage within the context of U.S. Government operations. This guide provides a detailed, step-by-step approach to help users complete the form accurately and efficiently in an online format.

Follow the steps to complete the DoS DS-1663 online effectively.

1. Click the ‘Get Form’ button to access the DS-1663 form and open it in your selected online editor.
2. Fill in the agency name for the individual who experienced the mishap in section I, labeled 'Mishap Information.'
3. In section I, provide the post name for overseas mishaps, or the U.S. city and state for domestic incidents in the 'Post/City, ST' field.
4. For domestic mishaps, include the organizational symbol of the involved agency in the designated field.
5. Specify the type of mishap by checking the appropriate boxes in section I.
6. Enter the date of the mishap in mm-dd-yyyy format in the relevant field.
7. Indicate the exact time of the mishap using the hh:mm format, ensuring to select either a.m. or p.m.
8. Check all applicable boxes to describe the location of the event, and provide a brief description of the specific site.
9. Craft a detailed description of the mishap in section I, explaining the who, what, where, when, why, and how, including any relevant details.
10. Complete section II by providing the personal details of the injured individual, such as their name, gender, and date of birth.
11. In section III, report injury or illness specifics, including severity and nature. Make sure to check all applicable boxes.
12. If applicable, fill in section IV regarding property damage, estimating the damage and detailing the property type.
13. In section V, outline corrective actions to prevent future mishaps based on findings from the current incident.
14. Ensure to provide the supervisor/personal supervising officer name and title in section VI, and obtain their signature.
15. Review all completed sections to ensure accuracy. Once finalized, save the changes, and download or print the form for submission.

Start filling out your DoS DS-1663 online now.