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SUMNER COUNTY OCCUPATIONAL INJURY REPORT SUMNER COUNTY GOVERNMENT MISMANAGEMENT OFFICE 355 N. BELVEDERE DR., ROOM 304 GALLATIN, TENNESSEE 37066 PHONE # (615) 4516023 FAX # (615) 4516052 AFTER HOURS
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To fill out the Sumner County Occupational Injury form, follow these steps:
02
Start by providing your personal information, including your name, address, and contact details.
03
Next, provide details about the accident or injury, such as the date, time, and location.
04
Describe the nature of the injury or incident, including the body parts affected.
05
Provide information about any witnesses to the incident, if applicable.
06
If medical treatment was sought, include details about the healthcare provider and any treatment received.
07
You may need to provide additional information, such as your employer's details and insurance information.
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Once you have completed the form, review it for accuracy and sign it before submitting it.
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Keep a copy of the completed form for your records.

Who needs sumner county occupational injury?

01
Anyone who has suffered an occupational injury in Sumner County needs to fill out the Sumner County Occupational Injury form. This includes employees who have been injured on the job, regardless of whether the injury was caused by their own actions or the actions of others. Employers may also need to complete or provide information for this form if it involves an employee under their supervision.
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Sumner county occupational injury refers to any injury that occurs at the workplace within Sumner county.
Employers in Sumner county are required to file for occupational injuries.
To fill out sumner county occupational injury, employers must provide detailed information about the injury, the employee, and the circumstances surrounding the incident.
The purpose of sumner county occupational injury is to track and monitor workplace injuries to ensure the safety of employees.
Information such as the date of the injury, the nature of the injury, the employee's name and position, and details of how the injury occurred must be reported on sumner county occupational injury.
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