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First Report of Alleged Occupational Injury or Illness
NWCC Form 1. Revised 06/2006 Injury Code. Part of. Body Code. Cause of. Injury Code. Initial. Treatment: Nebraska Workers Compensation Court. First
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FROI - First Report of Injury - Montana University System
If an Employee is hospitalized, call the Human Resources Dept. at 406-268-3701. Please fill out all sections the form below and click Submit Report when done.
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Police Traffic Collision Reporting Manual, Revised 3/11
(3) The police officer shall report to the department, on a form prescribed by the director: (a) When a collision has occurred that results in a serious injury
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