Get Sc Dhec 3785 2019-2026

The SC DHEC 3785 form is an essential document for public pool owners or operators to report incidents involving patrons that result in injury or require emergency medical services. This guide provides you with step-by-step instructions to complete the form accurately and efficiently.

Follow the steps to complete the SC DHEC 3785 online.

1. Press the ‘Get Form’ button to access the SC DHEC 3785 form and open it in your online editor.
2. In Section 1, enter the facility information. Provide the name of the facility, as well as the address, city, state, zip code, and phone number. In the right column, input the permit number, county, and select the pool type by circling one from the options A, B, C, D, E, F, or G.
3. Move to Section 2 to fill in the owner information. Record the name of the facility owner followed by their address, city, state, zip code, and phone number.
4. Proceed to Section 3 for incident information. Circle the type of incident that occurred (drowning, immersion, cut/abrasion, or other). If you select 'other,' provide a brief description.
5. In the left column of Section 3, enter the date of the incident, and in the right column, provide the time the incident occurred.
6. Indicate whether an emergency response was required by circling 'YES' or 'NO' for 911, ambulance, or emergency room visit. Also, circle the appropriate age range of the victim (child, adult, senior citizen) and their sex (male or female).
7. List the names of any witnesses in the designated fields and include a brief description of the incident and any actions taken.
8. At the end of Section 3, circle 'YES' or 'NO' to indicate if a police report is attached.
9. Finally, the owner needs to sign and date the form at the bottom before submitting.
10. After completing the form, you can save your changes, download, print, or share the document as needed.

Complete your SC DHEC 3785 form online to ensure timely incident reporting.