How to Fill Out Form HCJFS 3037

Form HCJFS 3037 at a glance

What it is: Fire Drill Log 5101:2-13-16 (A)(4): providers are required to conduct monthly fire drills at varying times.

Where and when to file: Fire Drill Log 5101:2-13-16 (A)(4): written documentation of these drills shall be kept on-site.

A filled-in Form HCJFS 3037 example: a daycare logs two years of fire drills

Form HCJFS 3037 example filled out, example: a daycare logs two years of fire drills — Example Little Steps Daycare fills out the Fire Drill Log. Its drills for two years of months fill every row, one drill each month. The picture shows one finished log, and none of its entries is real.

How to fill out Form HCJFS 3037, box by box

Provider Name

Enter the Provider Name.

Drill log by month

For each month, January, February, March, April, May, June, July, August, September, October, November and December, enter the Date of Drill, Start Time, Number of Children and Total Time of Evacuation.

Sources

[1] Form HCJFS 3037 (REV. 01-17), Fire Drill Log, Hamilton County Job and Family Services (the Official source link on this page).

Form HCJFS 3037 PDF Details

5101:2-13-16 (A)(4) is printed at the top of the form.

Provider: Provider Name.

Each drill: Month, Date of Drill, Start Time, Number of Children, Total Time of Evacuation.

Log: January through December, then January through December.

Documentation: Written documentation of these drills shall be kept on-site.

Question	Answer
Form Name	Form HCJFS 3037
Form Length	1 page
Fillable?	Yes
Fillable fields	146
Avg. time to fill out	25 min
Edition	REV. 01-17
Matches the agency's file	Yes, checked October 25, 2026
Other names	HCJFS 3037, Form HCJFS 3037, Fire Drill Log, fire drill form
Official source	Form HCJFS 3037 (REV. 01-17), Fire Drill Log, Hamilton County Job and Family Services

Fire Drill Log Form: HCJFS 3037