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Times Union 2026
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- Begin by entering the campus name and the date and time of the incident in the designated fields. Ensure accuracy for proper record-keeping.
- Indicate whether the incident involved personal injury by selecting 'Yes' or 'No'. This is crucial for categorizing the report.
- Fill out the victim status section, including their name, home address, and contact information. Be sure to print clearly for legibility.
- Complete the employee information section if applicable, detailing job title, work schedule on the day of injury, and supervisor's name.
- Injury information requires you to specify the general location of occurrence and nature of injury. Select all relevant options provided.
- Finally, provide a narrative description of the incident in detail, including any witnesses' names and addresses. This helps in understanding circumstances surrounding the injury.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2019 | 4.8 Satisfied (56 Votes) |
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