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SUPPLEMENTARY REPORT ON ACCIDENTS AND INDUSTRIAL DISEASES SUBMIT THE WKC12 WITH THIS REPORT IF IT WAS NOT PREVIOUSLY SUBMITTED. Department of Workforce Development Workers Compensation Division 201
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How to fill out supplementary report on

01
Gather all relevant information and data related to the incident or event that requires a supplementary report.
02
Start by providing a detailed description of the incident, including the date, time, and location.
03
Clearly state the purpose of the supplementary report and why it is necessary to document the additional information.
04
Provide a chronological sequence of events, explaining what happened before, during, and after the incident.
05
Include any pertinent details, observations, or evidence related to the incident.
06
If applicable, mention any witnesses or individuals involved in the incident, providing their names, contact information, and their role in the situation.
07
Use clear and concise language while explaining the facts and avoid personal opinions or assumptions.
08
Ensure that all information provided is accurate and supported by evidence or reliable sources.
09
If necessary, attach any supporting documents, photographs, or other evidence that can strengthen the supplementary report.
10
Conclude the report by summarizing the key points and reiterating the importance of the supplementary report in documenting the incident accurately.
11
Review the report for any grammatical errors or inconsistencies before submitting it to the appropriate individuals or authorities.

Who needs supplementary report on?

01
Supplementary reports are typically needed in various situations where additional information is required to document an incident or event.
02
Law enforcement agencies may require supplementary reports to provide more details or update information on ongoing cases.
03
Insurance companies often request supplementary reports to assess and investigate claims thoroughly.
04
Workplace incidents, accidents, or near misses may require supplementary reports to identify the causes and implement preventive measures.
05
Government agencies or regulatory bodies may mandate the submission of supplementary reports for compliance or oversight purposes.
06
Medical professionals may need to fill out supplementary reports to document any complications, adverse reactions, or unexpected incidents related to patient care.
07
Educational institutions may require supplementary reports to record incidents or disciplinary actions involving students or staff members.
08
Supplementary reports can also be utilized in research or academic settings to provide additional details or updates to previously published work.
09
Overall, anyone involved in an incident or event that necessitates a more comprehensive documentation than what is covered in the initial report may need to fill out a supplementary report.
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Supplementary report is on additional information related to the original report.
Individuals or organizations who need to provide additional information or corrections to a previously filed report.
Supplementary report can be filled out online or submitted through mail, following the specific instructions provided by the relevant authority.
The purpose of supplementary report is to ensure accuracy and completeness of the information provided in the original report.
The information to be reported on supplementary report may vary depending on the type of report, but generally it includes additional data, corrections, updates, or explanations.
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