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Get the free 2018-2019 NOTIFICATION OF INJURY FORM

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Send claims to:AG Administrators, Inc. P.O. Box 979 Valley Forge, PA 19482 Toll Free: 800.634.8628 Phone: 610.933.0800 Fax: 610.933.4122 claims×ageism.compact 1Student Name:20182019 NOTIFICATION
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The notification of injury form is a document used to report injuries or accidents that occur in the workplace.
Employers are typically required to file the notification of injury form.
The notification of injury form can be filled out by providing details of the injury or accident, including date, time, location, and description.
The purpose of the notification of injury form is to document workplace injuries or accidents for record-keeping and compliance purposes.
Information such as the date, time, location, nature of the injury, and the employee's details must be reported on the notification of injury form.
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