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Burn Injury Reporting

General Information

Minnesota Statutes 626.52, Subd. 3 requires the reporting of a select group of burn injuries to the State Fire Marshal. This law, enacted in 1992, is intended to provide information that will support public fire safety education programs, as well as aid in fire / arson and fire death investigations.
The statute requires that a health professional file a written report with the State Fire Marshal within 72 hours after being notified of a burn injury or wound that the professional is called upon to treat, dress, or bandage. The following burn injuries are subject to reporting:

• Second or third degree burns to five percent or more of the body
• Burns to the upper respiratory tract
• Laryngeal edema from inhaling superheated air
• Burn injury or wound that may result in the victim’s death

Burn injury report form

Use this form​ to report burn injuries. It can be completed electronically or printed. If it is entered electronically make sure to shade the area burned section. The completed form should be send electronically to ​

Mail the printed form to the SFMD, Attn: Nora Gierok, at 445 Minnesota St., Suite 145, St. Paul, MN 55101​

Faxes are no longer accepted.

Burn Injury Reporting Poster 

Here is a burn injury reporting poster you can hang up at your business.