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FIRST REPORT OF INJURY OR ILLNESS RECEIVED BYCLAIMSHANDLING ENTITY SENT TO DIVISION DATE DIVISION RECEIVED DATEFLORIDA DEPARTMENT OF FINANCIAL SERVICESDIVISION OF WORKERS\' Compensation assistance
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What is PART OF BODY AFFECTED Form?

The PART OF BODY AFFECTED is a fillable form in MS Word extension needed to be submitted to the specific address to provide certain info. It has to be completed and signed, which may be done manually in hard copy, or with a particular software such as PDFfiller. It helps to fill out any PDF or Word document right in the web, customize it according to your purposes and put a legally-binding e-signature. Right after completion, user can send the PART OF BODY AFFECTED to the appropriate individual, or multiple recipients via email or fax. The template is printable as well thanks to PDFfiller feature and options proposed for printing out adjustment. Both in electronic and in hard copy, your form should have a neat and professional appearance. Also you can turn it into a template for further use, without creating a new blank form from scratch. Just edit the ready template.

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Once you're about to begin submitting the PART OF BODY AFFECTED fillable form, you should make certain that all the required info is well prepared. This part is important, as far as errors and simple typos may result in unpleasant consequences. It is usually annoying and time-consuming to re-submit an entire blank, letting alone the penalties came from blown deadlines. To cope with the figures requires more concentration. At first glimpse, there is nothing complicated with this task. Yet still, there's no anything challenging to make an error. Experts suggest to save all data and get it separately in a different document. Once you've got a sample, you can just export this information from the document. In any case, you need to be as observative as you can to provide actual and valid information. Doublecheck the information in your PART OF BODY AFFECTED form when filling all required fields. You are free to use the editing tool in order to correct all mistakes if there remains any.

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Part of body affected refers to the specific area on an individual where an injury or illness has occurred.
Employers are required to file part of body affected information for their employees.
Part of body affected should be accurately documented on the injury or illness report form provided by the employer.
The purpose of documenting the part of body affected is to track injuries and illnesses in the workplace for prevention and safety improvement.
The specific location on the body where the injury or illness occurred must be reported.
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