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Bodily Injury/Property Damage Incident Report Route this form to: Risk Management Office 208 BOB Minneapolis, MN 55454 Email: ORM urn.edu Fax: 612-625-7384 U Wide Form: UM 1707 Rev: 4/13/09 UMD Rev:
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How to fill out bodily injury/property damage incident:

01
Gather all relevant information: Start by collecting details about the incident, such as the date, time, and location. Also, note down the parties involved, including their names, contact information, and insurance details.
02
Provide a detailed description: Clearly explain what happened in the incident, including the sequence of events and any contributing factors. Be specific and objective in your account, avoiding speculation or personal opinions.
03
Document injuries and damages: If there are any bodily injuries involved, document them by describing the nature and extent of each injury. Include details about medical treatment received and any ongoing health issues. For property damages, describe the damage sustained and provide estimates for repair or replacement if available.
04
Include witness statements: If there were any witnesses to the incident, obtain their contact information and ask them for a statement regarding what they saw or heard. Their statements can help support your claim and provide additional objective perspectives.
05
Attach supporting documents: Include any relevant documents to support your claim, such as police reports, photos of the scene or injuries, medical bills, repair estimates, or any other evidence that strengthens your case.

Who needs bodily injury/property damage incident:

01
Individuals involved in the incident: All parties directly involved in the incident should fill out a bodily injury/property damage incident report. This includes individuals who suffered injuries, caused injuries, or witnessed the incident.
02
Insurance companies: Insurance companies often require a detailed incident report to initiate the claims process. Reporting the incident promptly and accurately helps expedite the evaluation and resolution of the claim.
03
Legal authorities: In cases of serious injuries or significant property damage, it may be necessary to report the incident to the appropriate legal authorities, such as the police or regulatory agencies. They may require an incident report as part of their investigation or enforcement actions.
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A bodily injury/property damage incident refers to an event where a person or property is harmed or damaged, resulting in physical injury or property damage.
The party responsible for causing the bodily injury/property damage incident is usually required to file the incident report.
To fill out a bodily injury/property damage incident report, provide accurate details about the incident, including the date, time, location, individuals involved, nature of injuries or damages, and any other relevant information.
The purpose of a bodily injury/property damage incident report is to document and record the details of the incident for insurance claims, legal purposes, or internal investigations.
The information that must be reported on a bodily injury/property damage incident includes the date, time, location, names of individuals involved, description of injuries or damages, witnesses, and any other relevant information.
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