77 Ill. Adm. Code 795.200
Injury Reports
Section 795
Section 795.200 Injury
Reports
A written report of any tanning
injury or alleged injury shall be sent to the Department by the facility within
ten (10) working days after its occurrence or knowledge thereof. The report
shall include:
a) the name of the affected individual;
b) the date of the injury;
c) identification of the tanning equipment involved in the
injury;
d) the name, location and permit number of the tanning facility
involved;
e) the nature of the injury;
f) the name and address of the affected individual's health care
provider, if any; and
g) any other information considered relevant to the situation.