ࡱ>     { bjbjzz T!,JJJJJ^^^84^f3rrrr $<' 2222222$5482uJ) " ))2JJrrg 3***)JrJr2*)2**r0T1rЕ 6)0q2630f308)818J13("U(*m((3(3(3(22)3(3(3(f3))))83(3(3(3(3(3(3(3(3( : Accident Report State of Tennessee Division of Claims Administration 9th Floor Andrew Jackson Building Nashville, TN 37219-5066 (615)741-2734 State Agency FORMTEXT      Budget Code# FORMTEXT      Location # FORMTEXT       This form must be used exclusively by all state employees in presenting claims for workers compensation. All questions must be answered. TO BE COMPLETED BY EMPLOYEE:Social Security # FORMTEXT    - FORMTEXT   - FORMTEXT     1.Employee s name FORMTEXT       FORMTEXT       FORMTEXT      FirstM.I.Last2.Birthdate FORMTEXT       FORMTEXT     FORMTEXT     Sex FORMTEXT      Job Title FORMTEXT      Mo.DayYear3.Home Address FORMTEXT      City FORMTEXT      State FORMTEXT      Zip FORMTEXT      Home Phone( FORMTEXT    )  FORMTEXT      - FORMTEXT      4.Supervisor FORMTEXT      State Agency FORMTEXT      5.Off. Address FORMTEXT      City  FORMTEXT      State FORMTEXT      Zip FORMTEXT      Work Phone( FORMTEXT      )  FORMTEXT      - FORMTEXT      6.Date Employed by State FORMTEXT      / FORMTEXT      / FORMTEXT      7.Exact location of project where injury occurred FORMTEXT      County FORMTEXT      8.Do duties require employee being at this location? FORMDROPDOWN 9.Did employee leave work on day of injury? FORMDROPDOWN If not, when did incapacity begin? FORMTEXT      10.Date of Accident FORMTEXT      / FORMTEXT      / FORMTEXT      DESCRIPTION OF INJURY:1.State name of machine, tool, or other appliance with which injury occurred FORMTEXT      2.Describe the injury in detail and state how it occurred FORMTEXT       FORMTEXT       FORMTEXT      3.What part of person was injured? 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FORMDROPDOWN How much time? FORMTEXT      6.Physician s name FORMTEXT      Address FORMTEXT      City FORMTEXT      State FORMTEXT      Zip FORMTEXT      Phone #( FORMTEXT    ) FORMTEXT      - FORMTEXT      7.Date of first visit FORMTEXT      8.Who authorized visit to physician? FORMTEXT      9.Was employee hospitalized? FORMDROPDOWN Where? FORMTEXT      TO BE COMPLETED BY SUPERVISOR:1.What position did employee hold when injured? FORMTEXT      2.Was injury caused byEmployee s willful misconduct? FORMTEXT      Intentional self-inflicted injury? FORMTEXT      Intoxication? FORMTEXT      Failure or refusal to use safety appliance furnished her/him? FORMTEXT      .Failure to perform a duty required by law? FORMTEXT      3.When was the first notice of injury given to employer?Date FORMTEXT      / FORMTEXT      / FORMTEXT      Time FORMTEXT      To Whom? FORMTEXT      Position FORMTEXT      4Monthly salary on date of injury$ FORMTEXT      5.If disabled, will employee be on leave without pay during disability? FORMTEXT      6.Relate any knowledge you may have of injury or what the employee reported to you FORMTEXT       FORMTEXT       FORMTEXT       We, the undersigned, certify that all statements contained herein and on any attachments hereto are true and that the injuries reported were actually incurred. We also acknowledge that it is a misdemeanor to file a false claim with the Division of Claims Administration.  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