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INJURY/PROPERTY DAMAGE REPORT Office of Risk Management & Insurance Olds Hall 408 W. Circle Drive Rm 113 East Lansing, MI 48824 Phone (517) 3555022 Fax (517) 4323854 Email: riskiest MSU.edu THIS FORM
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How to fill out injuryproperty damage report for

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How to Fill Out an Injury/Property Damage Report:

01
Gather all necessary information: Before starting the report, make sure to collect all relevant information related to the incident. This may include details about the parties involved, any witnesses, the nature of the injury or damage, and any insurance information.
02
Start with personal information: Begin by providing your own personal details, such as your full name, contact information, address, and any other requested information. This will help establish your identity and ensure accurate communication throughout the process.
03
Describe the incident: Provide a clear, concise, and detailed description of the incident that led to the injury or property damage. Include the date, time, and location of the incident, as well as any factors that may have contributed to it. Be sure to use objective language and avoid speculation or assumptions.
04
Document injuries or property damage: If there are any injuries sustained or property damage caused by the incident, describe them in detail. Note specific body parts affected, the extent of the injuries, or the extent of the property damage. If possible, include photographs or any other supporting documentation to provide a visual representation of the damages.
05
Include witness statements: If there were any witnesses present during the incident, obtain their contact information and request a statement from them. Include their statements in the report, ensuring they provide a clear account of what they observed during the incident.
06
Contact law enforcement or emergency services: If law enforcement or emergency services were called to the scene, provide their contact information and any relevant report numbers. This will help establish an official record of the incident.
07
Provide insurance information: If insurance coverage is involved, include the details of your insurance policy or policies. This may include the name of the insurance company, policy number, and contact information for the claims department.
08
Seek medical attention if necessary: If you sustained any injuries during the incident, it is crucial to seek appropriate medical attention. Include details about any medical treatment received and the contact information of any healthcare providers involved.

Who Needs an Injury/Property Damage Report?

01
Individuals involved in the incident: It is important for individuals directly affected by the incident to fill out an injury/property damage report. This includes the injured party or parties, as well as the party responsible for the property damage.
02
Insurance companies: Insurance companies require injury/property damage reports to assess the extent of liability and make appropriate claim settlements. By filling out a report, individuals ensure that accurate and timely information is provided to their insurance company.
03
Legal authorities or law enforcement: In case legal action is pursued, injury/property damage reports provide valuable evidence for legal authorities or law enforcement to investigate the incident further. These reports can be instrumental in determining fault, liability, and potential compensation.
04
Employers or organizations: If an incident occurs within a workplace or an organization, employers or organizations need injury/property damage reports for internal record-keeping purposes. Such reports enable them to address safety concerns, implement preventive measures, and fulfill legal obligations.
Remember, the specific individuals or entities requiring an injury/property damage report may vary depending on the circumstances, so it is important to consult with relevant parties, such as insurance providers or legal professionals, to ensure compliance.
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The injury/property damage report is used to document and report any incidents that result in injury or damage to property.
Anyone involved in an incident that results in injury or property damage is required to file a report.
The report can be filled out by providing details of the incident including date, time, location, individuals involved, and description of the injury or damage.
The purpose of the report is to document and track incidents of injury or property damage for record-keeping and liability purposes.
The report must include details of the incident, such as the date, time, location, individuals involved, and description of the injury or damage.
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