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Email: saif801 saif.com Toll free phone:1.800.285.8525 Toll free FAX:1.800.475.7785CLAIM NO. SUBJECT Dater SAID Customer Use Area Dept. ShiftCC400 High St. SE, Salem, OR 97312CLASS DEFAULT Davenport
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To fill out day of injury, follow these steps:
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Start by entering the date of the injury.
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Specify the time of the injury, if known.
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Provide a brief description of how the injury occurred.
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If applicable, mention any witness to the injury and their contact details.
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Include any relevant medical treatment received on the day of injury.
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