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ACCIDENT, INJURY AND ILLNESS INVESTIGATION UNIVERSITY OF CALIFORNIA AGRICULTURE AND NATURAL RESOURCES INJURY AND ILLNESS PREVENTION PROGRAM Name of Injured Person: Date of Injury: Title×Job Classification:
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How to Fill Out the Name of Injured Person:

01
Start by locating the section or form that requires the name of the injured person. This can typically be found in accident reports, insurance claims, medical records, or any legal documentation related to the incident.
02
Begin by writing the injured person's first name in the designated space. Make sure to use their full legal name, including any middle names or initials if applicable.
03
Move on to filling out the space for the injured person's last name. Double-check the spelling to ensure accuracy.
04
If the form or document requires, provide the injured person's middle name or initial in the provided field.
05
Some forms may also ask for the injured person's maiden name or any other aliases they may have used in the past. If this information is requested, provide it accurately.
06
In case of a minor or dependent, it may be necessary to provide the injured person's date of birth or age. Fill in this information as per the requirements of the form.

Who Needs the Name of Injured Person:

01
Law enforcement officials or officers investigating the incident typically require the name of the injured person for their reports and records.
02
Healthcare providers and medical professionals need the name of the injured person to accurately document their injuries, treatments, and medical history.
03
Insurance companies often require the name of the injured person to process claims and determine coverage eligibility.
04
Legal representatives such as attorneys or lawyers may need the name of the injured person in order to provide legal advice, file lawsuits, or seek compensation on their behalf.
05
Government agencies involved in safety, accident prevention, or statistical data collection may also require the name of the injured person to maintain accurate records and assess risks.
Remember, the specific individuals or organizations that need the name of the injured person can vary depending on the circumstances and the nature of the incident. It is always important to provide accurate and complete information to the relevant parties.
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The name of the injured person is typically the person who has suffered physical harm or injury.
The name of the injured person is usually reported by the individual, medical personnel, or legal representatives involved in the incident.
The name of the injured person should be accurately and completely written in the designated spaces on any required documentation or forms.
The purpose of recording the name of the injured person is to identify the individual who has been harmed and track their medical treatment and legal proceedings.
The information reported should include the full name of the injured person, any known aliases or nicknames, date of birth, and contact information if available.
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