IS THE CLIENT UNDER 18?
WAS THE CLIENT HARMED OR WAS THERE AN ALLEGATION OF ABUSE?
WAS THE CLIENT IN AN RLC RESIDENTIAL SETTING?
Please complete your incident report with the DHHS using their CIMS form by clicking the button below.
ALL OTHER CLIENT/STAFF INCIDENTS TO BE REPORTED HERE.
Please complete the RLC Incident Management System by clicking the button below.
Please note: Behavior tracking should be reported via RLCIMS. DINMA forms should not be used, all incidents should be reported via CIMS or RLCIMS depending on the incident.
Near Miss/ Hazard Report
Use the near miss/hazard report when there is an occurrence that could have caused an injury or an incident.