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Were you treated by a physician If yes Physician Name Phone Date s of Treatment 25. Did you go to a hospital If yes Hospital Name Hospital Phone YesYes Date CSU EMPLOYEES For medical attention please contact the University Health Services at 2112 Euclid Ave CIMP Building Rm. IM 205 at x3649 for an appointment that day. ARN Cleveland State University Accident/Incident Report Applicable for Employees Students and Visitors Instructions for Report completion Complete the form in its entirety...
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Begin by gathering all necessary information such as personal details, employment or student status, and relevant documents.
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Who needs applicable for employees students?

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Employees who are required to disclose their personal and employment details to the employer or relevant authorities.
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Students who need to provide information about their academic background, courses, and related details to educational institutions or scholarship committees.
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Applicants seeking employment, internships, or educational opportunities that require the completion of a form with personal, employment, or student-specific information.
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Individuals applying for financial aid, grants, or assistance programs that request the completion of an applicable form.
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Any person who needs to provide specific information or declare their eligibility for certain benefits, permits, or licenses.
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Applicable for employees students is a form that needs to be filled out by individuals who are both employed and enrolled as students at the same time.
Employees who are also students are required to file applicable for employees students.
Applicable for employees students can be filled out online or by requesting a paper form from the employer or educational institution.
The purpose of applicable for employees students is to report income earned from employment and enrollment status as a student.
Information such as income from employment, hours worked, student status, and education expenses must be reported on applicable for employees students.
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