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This document is a report form filled out by the Ephrata Fire Department concerning accidents involving injured members, which includes details about the injury, the member's information, and additional
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How to fill out Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund Report of Accident
01
Obtain the Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund Report of Accident form.
02
Fill in the personal information section, including the firefighter's name, position, and contact information.
03
Specify the date and time of the accident.
04
Describe the circumstances surrounding the accident in detail.
05
Include witness names and contact information, if applicable.
06
Ensure all sections are completed accurately and thoroughly.
07
Sign and date the form at the designated area.
08
Submit the completed form to the relevant authority as indicated in the instructions.
Who needs Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund Report of Accident?
01
Any volunteer firefighter or reserve officer who has been involved in an accident during their service.
02
The administrative authority responsible for managing the Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund.
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What is Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund Report of Accident?
The Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund Report of Accident is a formal document used to report incidents that may affect the benefits or pension eligibility of volunteer firefighters and reserve officers in the state of Washington.
Who is required to file Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund Report of Accident?
Any volunteer firefighter or reserve officer who experiences an injury, illness, or incident that could impact their duties or benefits is required to file the report. Additionally, their department may also be responsible for filing the report.
How to fill out Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund Report of Accident?
To fill out the report, individuals must provide detailed information about the accident, including the date, time, location, a description of the incident, personal identification details, and any witnesses or involved parties. It's important to ensure accuracy and completeness in the information provided.
What is the purpose of Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund Report of Accident?
The purpose of the report is to formally document accidents that may impact the health, safety, and pension benefits of volunteer firefighters and reserve officers, thereby enabling appropriate action, support, and compensation as required by law.
What information must be reported on Washington Volunteer Firefighters’ & Reserve Officers’ Relief and Pension Fund Report of Accident?
The report must include information such as the date and time of the accident, the name and contact details of the injured individual, a detailed account of the incident, location, any witnesses present, and any medical treatment received or required.
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