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This version of the form is not currently in use and is provided for reference only. Download this version of
Form OLA-109
for the current year.
Form OLA-109 Serious Incident Report Form - South Dakota
What Is Form OLA-109?
This is a legal form that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the OLA-109 Serious Incident Report Form?
A: The OLA-109 Serious Incident Report Form is a document used in South Dakota to report serious incidents.
Q: What is considered a serious incident?
A: Serious incidents can include accidents, injuries, and other significant events that may have occurred.
Q: Who needs to fill out the OLA-109 Serious Incident Report Form?
A: Anyone who is involved in a serious incident in South Dakota should fill out the form.
Q: Is the form mandatory?
A: Yes, the form is mandatory for reporting serious incidents in South Dakota.
Q: What information do I need to provide on the form?
A: The form requires you to provide details about the incident, including date, time, location, and a description of what happened.
Q: What should I do after filling out the form?
A: After filling out the form, you should submit it to the appropriate authority or agency as specified on the form.
Form Details:
- Released on November 1, 2021;
- The latest edition provided by the South Dakota Department of Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form OLA-109 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.
