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PUTNAM COUNTY BUREAU OF EMERGENCY SERVICES General Incident / Injury Report Date of report: Fire Service Casualty Report Attached: Name of Person Injured: Home Address: Department: Date of Incident:

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How to fill out bes-general-incident-injury-reportdoc:

1. Begin by opening the bes-general-incident-injury-reportdoc document on your computer or printing out a physical copy.
2. Start by providing your personal information in the designated sections, such as your name, job title, and contact information.
3. Next, provide the details of the incident or injury that occurred. This includes the date and time of the incident, the location, and a brief description of what happened.
4. If there were any witnesses to the incident, make sure to note their names and contact information as well.
5. Describe the nature of the injury or damage caused by the incident in detail. Include any relevant information such as the affected body parts, the severity of the injury, or the extent of the damage.
6. If necessary, include any additional information or supporting documents related to the incident. This could involve attaching photographs, medical reports, or any other relevant evidence.
7. Review the completed form to ensure all necessary information has been provided and that it is accurate and clear.
8. Sign and date the document to certify that the information you have provided is true and accurate to the best of your knowledge.
9. Distribute copies of the completed form to the required parties, such as your supervisor, human resources department, or any other relevant individuals or departments.
10. Retain a copy of the completed form for your records.

Who needs bes-general-incident-injury-reportdoc?

1. Employees who have been involved in an incident or have suffered an injury while at work may need to fill out the bes-general-incident-injury-reportdoc.
2. Employers or supervisors who need to document and report any incidents or injuries that occur in the workplace can also require the completion of the bes-general-incident-injury-reportdoc.
3. This document may be necessary for insurance purposes, legal compliance, or internal record-keeping. Therefore, individuals or organizations responsible for managing these aspects may need the bes-general-incident-injury-reportdoc to be completed.

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