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CLARK UNIVERSITY ACCIDENT REPORT Name of Injured Date of birth Address Street City State Home telephone # Zip Job title Date of injury Date reported Department Time of injury Person to whom injury
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The Clark University accident report is a document that details any accidents or incidents that occur on the university grounds involving students, faculty, staff, or visitors.
Any individual who witnesses or is involved in an accident or incident on the Clark University grounds is required to file an accident report.
To fill out the Clark University accident report, individuals must provide their personal information, details of the accident or incident, any injuries sustained, and any witnesses or involved parties.
The purpose of the Clark University accident report is to document and track accidents or incidents on campus, ensure proper medical attention is provided if necessary, and identify any patterns or areas of concern for prevention purposes.
The Clark University accident report must include personal information, details of the accident or incident, injuries sustained, witnesses, and any other relevant information.
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