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Leigh University
Student Injury and Sickness Insurance Plan Registration Form
Active from June 27th 2014 to August 2, 2014,
Policy Number 374145001P
Total Cost: $285.00 USD
Leigh University has a
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How to fill out lehigh university student injury
Point by point, here's how to fill out the Lehigh University student injury form:
01
Start by gathering all the necessary information. This includes the student's full name, student ID number, contact details, and their status (undergraduate or graduate). You'll also need details about the injury, such as the date, time, and location it occurred.
02
Complete the personal information section. Provide the student's date of birth, home address, phone number, and email address. This information is crucial for contacting the student or their emergency contact during the injury assessment process.
03
Provide details about the injury itself. Describe the nature of the injury, including what body part or area was affected. Include any relevant information that can help assess the severity of the injury and determine appropriate medical treatment.
04
Indicate whether the injury occurred on or off-campus. If it happened on-campus, specify the exact location (e.g., dormitory, classroom, sports facility) and provide any additional details that may be relevant. If the injury occurred off-campus, provide the address and explain the circumstances surrounding the incident.
05
Note any witnesses to the injury. If there were any individuals present when the injury occurred, provide their names and contact information. Witnesses can provide valuable information about the incident and help support the student's version of events.
06
If the injury required medical attention, provide information about the healthcare provider who treated the student. Include the healthcare provider's name, contact information, and any details about the treatment received.
07
Sign and date the form. As the person filling out the form, ensure that you sign and date it to verify the accuracy of the information provided.
Who needs the Lehigh University student injury form?
Any student who sustains an injury while enrolled at Lehigh University needs to fill out the student injury form. This includes both undergraduate and graduate students. The form ensures that necessary documentation is submitted for evaluation and any required follow-up action is taken. It also helps the university keep track of student injuries, assess potential risks, and implement safety measures to prevent future incidents.
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What is lehigh university student injury?
Lehigh University student injury refers to any injury sustained by a student while on campus or participating in university-related activities.
Who is required to file lehigh university student injury?
Any student, faculty member, or staff member who witnesses or is made aware of a student injury at Lehigh University is required to file a report.
How to fill out lehigh university student injury?
To fill out a Lehigh University student injury report, individuals must provide details of the incident, the student involved, location, date and time of the injury, and any witnesses or individuals involved.
What is the purpose of lehigh university student injury?
The purpose of filing a Lehigh University student injury report is to document the incident, ensure the student receives necessary medical attention, and create a record of the event for future reference.
What information must be reported on lehigh university student injury?
The information that must be reported on a Lehigh University student injury includes details of the incident, the student involved, location, date and time of the injury, and any witnesses or individuals involved.
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