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**Notify Incident Management & Investigations Section at 404-657-1139 for High Visibility Incidents Page 2 of 4 Revised 6/13/08-effective 7/1/08 ODIS Directive #6001-101 Attachment B CRITICAL INCIDENT REPORT FORM (CIR) Person(s) of Interest Name Contact # Date of Birth Name Contact # Date of Birth Name Contact # Date of Birth Name Contact # Date of Birth Staff Injured (State operated programs only) Name DOB Description Contact # of Injury Name DOB Name DOB Description.

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