This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DHS-7774 Serious Injury Reporting Form?
A: DHS-7774 Serious Injury Reporting Form is a form used for reporting serious injuries in family child care settings in Minnesota.
Q: Who needs to fill out the DHS-7774 Serious Injury Reporting Form?
A: Family child care providers in Minnesota are required to fill out the DHS-7774 Serious Injury Reporting Form.
Q: What is considered a serious injury?
A: A serious injury is defined as an injury that requires medical treatment beyond minor first aid, such as stitches, casts, or hospitalization.
Q: What information is required on the DHS-7774 Serious Injury Reporting Form?
A: The form requires information about the child who was injured, the nature of the injury, the date and time of the incident, and the actions taken in response to the injury.
Q: What should I do if a child in my care experiences a serious injury?
A: If a child in your care experiences a serious injury, you should seek medical help immediately, document the incident, and fill out the DHS-7774 Serious Injury Reporting Form.
Q: Are there any penalties for not filling out the DHS-7774 Serious Injury Reporting Form?
A: Failure to comply with the reporting requirements may result in licensing violations and potential consequences for the family child care provider.
Form Details:
Download a fillable version of Form DHS-7774 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.