First injury report form pdf
[DOCX File]Child Care Centre Accident/Injury Report
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(a) an accident report is made describing the circumstances of the injury and any first aid administered; and (b) a copy of the report is provided to a parent of the child. Disclaimer:
[DOCX File]Microsoft Word - HURT FEELINGS REPORT.docx
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HURT FEELINGS REPORT. For use of this form, see ASC 00-210; the proponent agency is NSB. DATA REQUIRED BY THE PRIVACY ACT OF 1947. AUTHORITY:9 USAP 895, Departmental Regulations; 99 ASC 2211, United States Antarctic Program. PRINCI. P. A. L. PURP. O. SE: To assist whiners in documenting hurt feelings, and to provide leaders with a list of contractors who require additional …
[DOC File]ILLINOIS FORM 45: EMPLOYER'S FIRST REPORT OF INJURY
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Report prepared by Signature Title and telephone # Email address Please send this form to: ILLINOIS WORKERS' COMPENSATION COMMISSION 4500 S. SIXTH ST. FRONTAGE ROAD SPRINGFIELD, IL 62703-5118 By law, employers must keep accurate records of all work-related injuries and illness (except for certain minor injuries). Employers shall report to the Commission all injuries resulting in the loss of ...
[DOC File]WCC Form 2 - Alabama Department of Labor
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WCC Form 2. Rev. 10/2012. STATE OF ALABAMA. EMPLOYER’S FIRST REPORT OF INJURY . OR OCCUPATIONAL DISEASE. CLAIM REFERENCE 1. Insured Report Number 2. Filing Office Claim Number 3. OSHA Log Case Number . EMPLOYER 4. Employer Business Name . 5. Physical Address 1 . 6. Physical Address 2 . 7. City 8. State 9. Zip ADDRESS, IF LOCATION DIFFERENT FROM …
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