Report an EMS serious incident

Serious Incident Reports:

• If you are either a licensed ambulance/EFR service or an accredited EMT training institution (ATI) and this issue is either an accident report under 105 CMR 170.350(A), or meets the definition of serious incident as defined in 105 CMR 170.350(B), please complete the online Office of Emergency Medical Services Serious Incident Report form.

Follow-up documentation for a previous submission:

You may also use this form to submit follow-up documentation for a previous online Office of Emergency Medical Services Serious Incident Report form submission.

• If you need to submit follow-up documentation for a previous submission, please ensure you have your original Office of Emergency Medical Services Serious Incident Report form submission confirmation number (example: OEMSSIR12345), received via email.
• With the original Office of Emergency Medical Services Serious Incident Report form submission confirmation number, complete another online Office of Emergency Medical Services Serious Incident Report form, select the “follow-up documentation” option, enter the submission confirmation number, upload the relevant documentation, and submit.