Get Hhs Indian Health Service F07-02b 2015-2025

The HHS Indian Health Service F07-02b form is essential for reporting incidents within the Indian Health Service framework. Completing this form accurately is crucial for proper incident management and resolution.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to access the electronic version of the form for completion.
2. Indicate whether you are submitting an incident notification, update, or resolution by checking the appropriate box.
3. Identify the IR primary handler responsible for managing the incident.
4. Determine if the incident involves personally identifiable information (PII) by selecting 'Yes' or 'No'. If 'Yes', be prepared to complete the PII section.
5. Enter the date and time when the incident was discovered, as well as the date and time it occurred.
6. Fill in the facility name where the incident took place.
7. Provide the name of the person who discovered the incident, along with their contact information.
8. List an alternate contact person along with their contact information.
9. If applicable, provide the government barcode number(s) for any equipment that was lost or stolen.
10. Describe the roles of the individuals involved in the incident, including contractors and government employees.
11. Estimate and enter the number of individuals impacted by the incident.
12. Compile a list of individuals to be kept notified of the incident as well as those who should not be notified.
13. Write a high-level summary of the incident, reflecting key information.
14. Provide a detailed description of the incident, including any relevant time stamps.
15. Detail the actions taken to mitigate the incident, along with time stamps.
16. Outline any follow-up actions that will be taken regarding the incident.
17. Complete the PII section by specifying the type of PII, the owner of the PII, and the estimated number of individuals affected.
18. After filling out all the relevant sections, save your changes and proceed to download, print, or share the completed form.

Complete your HHS Indian Health Service F07-02b form online today.