<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-23A-3 - Form and contents of report on claims. </title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2075696Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2075696SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2075696CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2075696Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2075696DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2075696Normal-000001 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } span.s2075696000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2075696SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2075696SCL-000003 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } body { text-decoration-skip-ink: none; } </style></head><body><div><p dir="ltr" class="s2075696Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-23A-3"><span class="s2075696SENU">58-23A-3</span></a><span xml:space="preserve" class="s2075696SENU">. </span><span class="s2075696CL">Form and contents of report on claims.</span></p><p dir="ltr" class="s2075696Normal-000000"><span class="s2075696DefaultParagraphFont">Such reports shall be in writing on a form prescribed by the division and shall contain the following information:</span></p><p dir="ltr" class="s2075696Normal-000001"><span class="s2075696DefaultParagraphFont">(1)    Name and address of physician, nurse, hospital, or other person or institution against which claim is made;</span></p><p dir="ltr" class="s2075696Normal-000001"><span class="s2075696DefaultParagraphFont">(2)    Name, address, and age of the claimant or plaintiff;</span></p><p dir="ltr" class="s2075696Normal-000001"><span class="s2075696DefaultParagraphFont">(3)    Nature and substance of the claim; and</span></p><p dir="ltr" class="s2075696Normal-000001"><span class="s2075696DefaultParagraphFont">(4)    Date and place from which the claim arose.</span></p><p dir="ltr" class="s2075696Normal"><span xml:space="preserve" class="s2075696000002"> </span></p><p dir="ltr" class="s2075696Normal"><span class="s2075696SCL">Source:</span><span xml:space="preserve" class="s2075696SCL-000003"> SL 1976, ch 316, § 2.</span></p></div></body></html>