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Stewart C. Miller & Co., Inc. P.O. Box 5769 Lafayette, Indiana 479035769Local (765) 4478803 Toll-free (800) 5526550 Fax (765) 4494338STATEMENT OF CLAIM FOR ACCIDENT AND SICKNESS WEEKLY BENEFITS TO
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What is form causes and incidence?
Form causes and incidence is a document used to report causes of incidents and their frequency.
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All employees are required to file form causes and incidence.
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The purpose of form causes and incidence is to identify trends and prevent future incidents.
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Information such as date of incident, location, individuals involved, and description of causes must be reported on form causes and incidence.
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