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SAG-AFTRA Accident Report Form free printable template

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#19b accident report form injured performer: name: address:
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How to fill out SAG-AFTRA Accident Report Form

01
Gather necessary information such as your name, contact details, and the date of the incident.
02
Describe the nature of the accident, including where and how it occurred.
03
Document any injuries sustained, detailing the affected body parts and the severity.
04
Include the names and contact information of any witnesses.
05
Attach any additional documentation or evidence, such as medical reports or photographs, if applicable.
06
Review the form for accuracy and completeness before submission.
07
Submit the completed form to the relevant SAG-AFTRA office as per their guidelines.

Who needs SAG-AFTRA Accident Report Form?

01
Members of SAG-AFTRA who have been involved in an accident while working.
02
Producers or employers who need to report an accident involving SAG-AFTRA members.
03
Any individual seeking to file a claim or provide documentation regarding an on-set injury.
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The SAG-AFTRA Accident Report Form is a document used to report accidents or injuries that occur during the course of work on productions covered by SAG-AFTRA, helping to ensure safety standards and proper documentation.
The form must be filed by producers, employers, or representatives involved in a production where an accident or injury has occurred, as well as by affected performers.
To fill out the form, provide details about the incident, including the date, time, location, nature of the injury, individuals involved, and any witnesses. Ensure that all sections are completed accurately.
The purpose of the form is to document accidents to facilitate safety assessments, comply with legal requirements, and provide necessary information for insurance and claims processing.
The report must include information such as the date and time of the accident, location, description of the injury or incident, names and contact information of those involved, and any witnesses present.
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