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State of Oklahoma
WORKERS COMPENSATION INCIDENT INVESTIGATION REPORT
Check Box:INJURYILLNESSNEAR Ismail completed form to: Worktop×oms.ok.gov or fax to: 4055224442
A. EMPLOYEE INFORMATION: ALL FIELDS
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What is check box?
A check box is a small box on a form that you can tick or mark to indicate a choice or decision.
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The individuals or entities specified in the form instructions are required to file a check box.
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To fill out a check box, simply mark the box with a tick or check mark to indicate your selection.
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The purpose of a check box is to provide a quick and easy way to make selections or indicate choices on a form.
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