STATE OF CALIFORNIA ACCIDENT REPORT This report should be ... - csuchico 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the 'Incident Date' and 'Time' fields accurately to document when the incident occurred.
  3. Provide detailed information about the injured party, including their name, birth date, driver's license number, and mailing address. Ensure all contact numbers are correct.
  4. In the 'Nature and Extent of Apparent/Claimed Injury' section, describe the incident thoroughly. Use additional sheets if necessary for clarity.
  5. If photographs were taken, indicate 'Yes' and provide details on who took them. Similarly, note if first aid was given and by whom.
  6. Complete the property damage/loss information by detailing the property owner's name, address, and nature of damage or loss.
  7. List any witnesses with their names, addresses, and contact numbers to support your report.
  8. Finally, ensure that the reporting employee's name, title, and signature are included before submitting the form as per distribution instructions.

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