LAC 49:I.1339. Reports to the Department [formerly 49:8.0190]

A. The registrant shall submit to the department a written report of actual or alleged injury from the use of registered tanning equipment within five working days after occurrence or notice thereof as required by R.S. 40:2714(D). The report shall include: 1. the name of the affected individual; 2. the name, location, and number of the certificate of registration-permit for the tanning facility and identification of the specific tanning equipment involved, including the name, model number, date of manufacture and type of lamp(s); 3. the nature of the actual or alleged injury, as well as the complete name, address and telephone number of any doctor visited for medical attention; 5. any other information relevant to the actual or alleged injury, including the date and duration of exposure.