JACKSONVILLE STATE UNIVERSITY ACCIDENT REPORT (For - jsu 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the name of the injured individual in the designated field. Ensure accuracy for proper documentation.
  3. Fill in the telephone number and address, including street, city, state, and zip code. This information is crucial for follow-up communication.
  4. Indicate the job title if the injured party is an employee, along with the date and time of the accident/injury.
  5. Specify the department where the incident occurred and provide details on how and where the accident took place.
  6. List any tools or equipment involved during the incident to help identify potential hazards.
  7. Describe the nature and severity of the injury clearly. If applicable, indicate whether there was exposure to blood borne pathogens.
  8. If there were witnesses, provide their names and contact information for further investigation.
  9. Document whether medical treatment was received and include details about healthcare providers if applicable.
  10. Complete the form by signing it with your name, title, and date before submitting it to Human Resources.

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Full-Time vs Part-Time Enrollment The total enrollment at Jacksonville State University in 2023, both undergraduate and graduate, is 9,672 students. The full-time enrollment at Jacksonville State University is 6,960 and the part-time enrollment is 2,712.
Jacksonville is located in Calhoun County, in east central Alabama. We are about midway between Birmingham, Ala., and Atlanta, Ga., just north of I-20.
Jacksonville State University has been recognized by Forbes as the top-ranked employer headquartered in Alabama on its 2025 list of Americas Best Employers by State. Jax State placed No. 7 overall among 45 employers that made the Alabama rankings and was the highest-ranked university on the list.
Jacksonville State University is known for one of its top majors: Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing.
In August 1966, the Alabama State Board of Education elevated the college to university status, which prompted a school name change to Jacksonville State University.
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Jacksonville State University, also known as Jax State, is located in Jacksonville, Alabama, nearly midway between Birmingham, AL and Atlanta, GA, just north of Interstate 20. Founded in 1883, it was originally named the State Normal School in Jacksonville.
A Proud HBCU Tradition Jackson State University is proud to be part of this tradition.

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