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Concoction County Accident/Injury Report Concoction County 401 Main Street Concoction, Ohio 438121586 Phone Number Direct: 7402957467 Phone Number Commissioners: 7406221753 BWC Policy Number : 316000010

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How to fill out coshocton county injury report

01

Step 1: Obtain a copy of the Coshocton County injury report form.

02

Step 2: Gather all necessary information about the injury, including date, time, location, and description of the incident.

03

Step 3: Provide personal details of the injured party, such as name, address, and contact information.

04

Step 4: Document any witnesses or individuals involved in the incident, including their names and contact information.

05

Step 5: Clearly describe the nature and extent of the injuries sustained.

06

Step 6: Include any additional relevant information or circumstances related to the incident.

07

Step 7: Review the completed form for accuracy and completeness.

08

Step 8: Sign and date the injury report.

09

Step 9: Submit the filled-out injury report to the designated authority or department in Coshocton County as specified.

Who needs coshocton county injury report?

01

Individuals who have been involved in an injury incident in Coshocton County.

02

Employers who need to report injuries suffered by their employees.

03

Insurance companies or legal representatives who require documentation of the injury.

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