Blue Earth County, MN · Blue Earth County
Human Services Incident Report
Blue Earth County’s Human Services Incident Report documents specified incidents involving a child and is completed by foster parents or social workers.
At a glance
- Issued by
- City of Blue Earth County · Blue Earth County, Blue Earth County, Minnesota
- Notarization
- Not required: file this form without a notary.
- Official source
- mn-blueearthcounty2.civicplus.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this report when a child is injured, corporal punishment occurs, a child is restrained, or other listed incidents or conflicts arise. It asks for the child’s identifying information, event details, people involved, contacts, a description of the incident, actions taken, referrals, potential problems, and supporting documents. Reports are sent to the foster care licensing worker and filed in licensing records.
Who needs it
Foster parents and social workers use this report to document the incidents listed on the form and provide it to the foster care licensing worker.
How to submit it
Send the incident report to the foster care licensing worker; the form says reports will be filed in the licensing records.
About notarization
No notary is required; the form asks for a completion date and identifies no sworn or notarized attachment or related step.
How to submit this form
- 1
Download the Report
Download the Blue Earth County Human Services Incident Report PDF.
- 2
Complete the Form
Provide the child’s identifying information and describe the event, people involved, contacts, actions, referrals, and potential problems.
- 3
Gather Supporting Documents
Include any supporting documents attached to the incident report.
- 4
Send the Report
Send the completed report to the foster care licensing worker for filing in the licensing records.
Frequently asked questions
- What is the Blue Earth County Human Services Incident Report for?
- It documents specified incidents involving a child, including injuries, corporal punishment, restraint, drug use, attempted suicide, assault, or conflict with a biological parent.
- Who completes this incident report?
- The form lists foster parent, family social worker, and foster care social worker roles. It asks for details about the child, event, people involved, actions, and referrals.
- Do I need a notary for the Human Services Incident Report?
- No. The form asks for a completion date and identifies no sworn or notarized attachment or related step.
- How do I submit the incident report?
- Send the incident report to the foster care licensing worker. The form states that reports are filed in the licensing records.