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SECTIONCODETITLE & DESCRIPTIONRETENTION PERIODCLASSIFICATIONSTATUTEGENERAL RECORDS RETENTION SCHEDULE FOR MINNESOTA CITIESFIREFIR 00010AMBULANCE BILLING/HIPPA AUTHORIZATION FORM10Patient signs acknowledging they are financially responsible for the provided services and that they have received a copy of the Notice of Privacy Practices.FIREFIR 00020AMBULANCE EMERGENCY ROOM RECORDS10 PrivateAdmission date, patient name and address, insurance, emergency contact, doctor, birthdate.FIREFIR 00030AMBULANCE MASTER SCHEDULES6 PublicMonthly Calendar of call time - reviewed by EMSRB representative upon relicensing.FIREFIR 00040AMBULANCE PATIENT CARE REPORT - EMSRB/STATE FORM10 Public/PrivateMS 13.384, subd. 3Includes mileage, patient name and address, type of injury, incident address, destination information, vital signs, and narrative.FIREFIR 00050AMBULANCE PRE-HOSPITAL PROTOCOLSUntil supersededIncludes variances for licensing.FIREFIR 00100APPARATUS/EQUIPMENT MAINTENANCE & INSPECTION RECORDS:Life of equipment PublicFIREFIR 00200ARSON REPORTS/INVESTIGATIONSPermanent Public/ConfidentialMS 13.82, Subd. 7, MS 13.83FIREFIR 00350FA-1 FORM, APPLICATION OF STATE AID FIRE EQUIPMENT CERTIFICATE6 PublicFIREFIR 00400FIRE CODEPermanent PublicFIREFIR 00600FIRE INVESTIGATION REPORT6 unless arson, death, or hazardous materials then retain permanentlyPublic/Confidential until investigation is closed.MS 13.82, MS 13.83Used by investigators to document facts found regarding fires investigated by the FPB.FIREFIR 00700FIRE PREVENTION WEEK TOURS & DEMONSTRATION DATA1 PublicFIREFIR 01150FIRE TRUCK DAILY/WEEKLY INSPECTION SHEETS2 PublicPage 24 of 72Revised: March 2021