This form must be submitted to ATTN: Recreational Waters, SCDES, 2600 Bull St., Columbia, SC 29201, or faxed to (803) 898-4215, Attn: Recreational Waters.
Emergency room visit: check YES or NO whether 911, ambulance or emergency room visit was required.
Police report: check YES or NO whether a police report is attached.
Incident type: circle type of incident (drowning, immersion, cut/abrasion, other); if other, provide a descriptive name.
Signature: owner signs and dates the bottom of the form.
| Question | Answer |
|---|---|
| Form Name | DES 3785 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 41 |
| Avg. time to fill out | 7 min |
| Other names | DES 3785, DES3785, Form DES 3785, Swimming Pool Incident Report, Pool Incident Report, SCDES 3785 |
| Edition | Rev 01/2025 |
| Issuing agency | South Carolina Department of Environmental Services |
| Where to send | ATTN: Recreational Waters, SCDES, 2600 Bull St., Columbia, SC 29201, or faxed to (803) 898-4215 |
| Official source | DES 3785 (Rev 01/2025), South Carolina Department of Environmental Services |
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