Maryland Burn Injury Report
**If this burn injury did not occur in the State of Maryland you are not required to submit a burn injury report to the State of Maryland/Office of the State Fire Marshal**
1. Completion and submission of this form meets the minimum requirements of Maryland Health Occupations 14-505.
2. Immediate notification of a critical or fatal burn injury should be made through the local 911 center. The burn injury report must still be completed and submitted.
3. Non-critical burn injuries report forms should be emailed or faxed to the local office as soon as possible after patient treatment.
4. If you have any questions please contact us.
Office of the State Fire Marshal - Headquarters
1201 Reisterstown Road Pikesville, MD 21208
Phone: 410-653-8980 / 800-525-3124 FAX: 410-653-8988
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This form was created inside of State of Maryland.