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TATE OF ORTH CAROLINA OFFICE OF STATE HUMAN RESOURCES 1331-2026
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- Begin by filling out the NC Employee Incident Report section. Provide your full name, employee ID, job title, and contact information.
- Document the date and time of the incident, along with the location. Be specific about where the incident occurred.
- In the 'Description of Accident/Incident' field, clearly outline what happened. Use a step-by-step approach to detail the sequence of events leading up to the incident.
- If there were witnesses, list their names and contact information in the designated section. This is crucial for gathering additional perspectives on the incident.
- Complete any medical information required, including parts of the body injured and prior injuries if applicable.
- Finally, review all entries for accuracy before submitting your report through our platform. Ensure that all necessary fields are filled out completely.
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OFFICE OF STATE PERSONNEL 1331 MAIL 116 WEST JONES STREET RALEIGH, NC 27699-1331. Phone: 919-807-4800 Fax: 919-715-9750