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PFL ACCIDENT/INCIDENT REPORT FORM Date of incident: Time: AM/PM Location: Site Director: Name of injured person: Address: Phone Number(s): Date of birth: Male Female Grade School Who was injured person?
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The pyfl incident form-1doc is a document used to report incidents related to the Pay for Leave (PYFL) program.
Employers participating in the PYFL program are required to file the incident form-1doc.
The form can be filled out electronically or manually, providing details of the incident as requested.
The purpose of the form is to document and report incidents related to the PYFL program for record-keeping and compliance purposes.
The form requires details such as date of incident, description of incident, names of employees involved, and any actions taken.
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