Center questions 2026

1. Click ‘Get Form’ to open the Injury Reporting Call Center Interview Questions in the editor.
2. Begin with Part I: Employee Information. Fill in your last name, first name, social security number, date of hire, home address, home phone number, date of birth, title, and department.
3. Proceed to Part II: Employer Information. Enter the name of the person reporting, their title, company name, address, company phone number, and the name of your supervisor or manager.
4. In Part III: Injury Information, provide the date and time of injury. Indicate when you reported it to your supervisor and describe the nature of the injury along with how it occurred. Specify if the injury happened at the job site by selecting 'Yes' or 'No'.
5. Finally, complete Part IV: Medical Information. Indicate whether treatment was sought and provide details such as location name, phone number, address, and if a referral is needed. Add any additional comments as necessary.

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