Connecticut Developmental Services Menu X HOME Individuals & Families Assistive Technology Charting Lifecourse Self Determination Self Advocacy Find a Provider Guardianship Supports & Services Access to Supports Case Management Family Supports Transportation Community Living Employment & Day Services Health Services Self Direction Eligibility How to Apply for Services Individuals with intellectual disability Autism Birth to Three Reassessment Step News & Updates Commissioner's Corner Calendar DDS Updates Fourth Tuesday Forums Subscribe to Newsletter Provider Gateway Provider Communications Health & Dental Resources for Providers About Boards & Councils DDS Commissioner DDS Regions DDS Mission Ombudsperson Contact Help line Report Abuse & Neglect × BACK HOME Individuals & Families Assistive Technology Charting Lifecourse Self Determination Self Advocacy Find a Provider Guardianship Supports & Services Access to Supports Case Management Family Supports Transportation Community Living Employment & Day Services Health Services Self Direction Eligibility How to Apply for Services Individuals with intellectual disability Autism Birth to Three Reassessment Step News & Updates Commissioner's Corner Calendar DDS Updates Fourth Tuesday Forums Subscribe to Newsletter Provider Gateway Provider Communications Health & Dental Resources for Providers About Boards & Councils DDS Commissioner DDS Regions DDS Mission Ombudsperson Contact Help line Report Abuse & Neglect Families Provider Gateway Boards & Councils Divisions Regions Topics A - Z Programs and Services Advocates' Corner STEP Subscribe for DDS Updates Search Department of Developmental Services Search the current Agency with a Keyword Filtered Topic Search Incident Report Forms DDS Incident Report Form 255 (DOC)DDS Incident Report Form 255 (PDF)DDS Incident Report Follow-up Form (DOC)DDS Incident Report Follow-up Form (PDF) DDS Medication Error Report Form 255M (DOC, KB) DDS Electronic Incident Report Form Instructions(PDF, 78 KB)