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SURF LIFE SAVING NEW SOUTH WALES
NOTIFICATION OF INJURY FORM
This form is to be completed when a volunteer suffers an injury or illness where compensation is or
may be payable under the Workers Compensation
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How to fill out notification of injury form

01
To fill out a notification of injury form, start by gathering all relevant information about the injury. This includes the date, time, and location of the incident, as well as any witnesses present.
02
Provide detailed information about the injured person, including their full name, contact information, and any identifying details such as employee or student ID.
03
Describe the nature of the injury in a clear and concise manner. Include information about how the injury occurred, the body part affected, and any immediate treatment or medical attention provided.
04
If applicable, include information about any emergency services that were called or any medical professionals consulted.
05
Fill in any additional details requested on the form, such as the name and contact information of the person completing the form, their relationship to the injured person, and any specific instructions or notes provided.
06
Review the completed form for accuracy and completeness before submitting it. Ensure that all required fields are filled out and that the information provided is accurate and up-to-date.
Who needs a notification of injury form?
Employers, organizations, or institutions typically require a notification of injury form to be filled out in the event of a workplace or premises-related injury. This form helps document the incident and serves as an official record of the injury, which may be required for insurance purposes, legal proceedings, or internal reporting and analysis. Additionally, employees, students, or individuals who have been injured may need to fill out this form to officially report their injury and seek appropriate assistance or compensation.
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What is notification of injury form?
The notification of injury form is a document used to report any injuries sustained by an employee while on the job.
Who is required to file notification of injury form?
Employers are required to file the notification of injury form when an employee is injured on the job.
How to fill out notification of injury form?
The notification of injury form can be filled out by providing details of the injury, the circumstances surrounding it, and any other relevant information.
What is the purpose of notification of injury form?
The purpose of the notification of injury form is to ensure that workplace injuries are properly documented and reported.
What information must be reported on notification of injury form?
The notification of injury form must include details of the injury, the date and time it occurred, the location, and any witnesses.
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