Feuille accident du travail 2026

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  1. Click ‘Get Form’ to open the feuille accident du travail in the editor.
  2. Begin by filling in the identification section for the victim. Enter their full name, address, postal code, date of birth, and registration number.
  3. Next, complete the employer's identification section. Provide the employer's name or business name, address, postal code, and SIRET number.
  4. Indicate whether you are authorized to manage work-related risks by selecting 'yes' or 'no'.
  5. In the accident or illness section, specify if it is a work-related accident or a professional illness and provide relevant dates.
  6. On page 2/2, healthcare professionals will need to fill in details about medical acts performed and sign to attest to their services.

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