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Office of Risk Management Catholic Diocese of Arlington 200 North Glebe Road 6th floor Arlington VA 22203 703-841-2503 VOLUNTEER ACCIDENT REPORT THIS FORM MUST BE COMPLETED WITHIN 72HRS OF THE INJURY. PLEASE MAKE SURE WRITING IS LEGIBLE. Name of School/Parish Location Address Name of Injured Volunteer Sex M F DOB Volunteer s Complete Mailing Address Contact Date of Accident Time Location of Accident Nature and Type of Injury indicate L or R side Did injury require medical treatment away...
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This form is a tax form that must be filed with the relevant tax authorities.
Individuals or entities meeting certain criteria set by the tax authorities are required to file this form.
The form must be filled out accurately and completely, following the instructions provided by the tax authorities.
The purpose of this form is to report relevant financial information to the tax authorities.
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