M E M O R A N D U M



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| |STATE OF NEW JERSEY | |

|JON S. CORZINE |DEPARTMENT OF HUMAN SERVICES |Jennifer Velez |

|GOVERNOR |DIVISION OF DEVELOPMENTAL DISABILITIES |COMMISSIONER |

| |PO BOX 726 | |

| |TRENTON, NJ 08625-0726 |Kenneth W. Ritchey |

| | |ASSISTANT COMMISSIONER |

| | | |

| | |TEL. (609) 987-0800 |

MEMORANDUM

TO: DISTRIBUTION LIST

FROM: Kenneth W. Ritchey

Assistant Commissioner

DATE: October 12, 2007

SUBJECT: Division Circular #14

Reporting Unusual Incidents

Attached please find the revised Division Circular #14, “Reporting Unusual Incidents”. This circular establishes the policies and procedures service providers and staff are to follow to ensure that Unusual Incidents are reported in accordance with the Department of Human Services (DHS) Administrative Order 2:05 and Addendum to Administrative Order 2:05, as well as requirements of the Division of Developmental Disabilities.

Also attached are the revised Initial Incident and Follow-Up report forms to be utilized for reporting unusual incidents. Questions regarding the use of the forms may be directed to the Regional UIR Coordinator or Jeff Robinson, 609-987-2041.

KWR:JZH:s

Attachments

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