Notice only 2026

See details

4.8 out of 5

258 votes

The document is an 'Incident Notice Only' form from Augusta University, designed for reporting workplace incidents that do not require medical treatment. It includes sections for employees and supervisors to provide details about the incident, such as date, time, description, type of incident, and recommendations for prevention. The form emphasizes that it does not replace the official WC-1 report and must be faxed to Benefits and Data Management.

Here's how it works

01. Edit your notice only sample online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out notice only with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the notice only document in the editor.
In Section A, begin by entering the date the incident was reported. Fill in your name, office phone number, job title, and social security number.
Next, provide the date and time of the incident. Describe what happened in detail, including how, where, and why it occurred.
Indicate the type of incident (e.g., cut, scrape) and specify the place of occurrence. List any witnesses along with their contact numbers.
Complete the supervisor's section by entering the date notified of injury and reviewing all facts related to the incident. Document any hazardous conditions or unsafe practices identified.
Provide recommendations for preventing future incidents and actions taken to ensure these recommendations are implemented. Finally, sign and date the report.

Start using our platform today to easily complete your notice only form for free!

See more notice only versions

We've got more versions of the notice only form. Select the right notice only version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (258 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a notice only claim?

Notice only claims are not actively investigated unless/until the injured person decides to pursue a claim. A regular reported claim differs from notice only in that it is actively investigated and resolved from the moment it is submitted to CIRSA.

What is the purpose of a notice of claim?

The Initial Notice of Claim is a formal document submitted to notify another party of a dispute or grievance. It is an essential step in various legal processes, including but not limited to personal injury cases, employment disputes, and contractual matters.

What is notice only?

You may list some parties for notice purposes only, and instead of the amount, say that its a Notice Only listing. This is helpful if you are not sure if you actually owe any money to a particular bank or person but still want them to be aware of your bankruptcy case.

What is the difference between a sign and a notice?

Signs provide information, directions, or warnings, while notices contain information or instructions. Examples of where signs and notices can be found include shops, airports, hospitals, and near schools.

What is a notice sign?

The purpose of Notice signs is to communicate guidance, rules, or other information to the viewer. They may be used to regulate visitor activities or to provide notice of a safety procedure.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

What is a notice of claim in insurance?

A notice of claim provision in a liability insurance policy requires the insured to promptly notify the insurer in the event that a claim is made against the insured.

Notice only 2026

Here's how it works