Get Ma Le100 (formerly 20385) 2018

This guide provides clear and comprehensive instructions on how to complete the MA LE100 form online. By following these steps, you can ensure that your submission is accurate and complete.

Follow the steps to successfully complete the MA LE100 form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. In the ‘A. Incident and Operator Information’ section, start by entering the date of your request in the format MM/DD/YYYY.
3. Then, enter the date of the incident, again in MM/DD/YYYY format.
4. Fill out the incident location by providing the exact city and state where the incident occurred.
5. Complete the address section with the operator's street address, city, state, and zip code.
6. In the narrative section, describe the incident that led to the request. Be sure to summarize all relevant facts and indicate whether the request pertains to a medical incident by checking the appropriate box.
7. Sign the form under the penalties of perjury, including the date of signing. Enter the printed name of the authorized person and their role, along with their police department.
8. Once you have completed all highlighted fields and reviewed the information for accuracy, save the form. You can then download, print, or share the form as needed.

Complete your MA LE100 form online today to ensure your request is processed efficiently.