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MANAGERS/SUPERVISORS REPORT OF EMPLOYEE CORRELATED INJURY OR ILLNESS CALIFORNIA STATE POLYTECHNIC UNIVERSITY, POMONA Any person who makes or causes to be made any knowingly false or fraudulent material
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01
Gather all relevant information about the accident, such as the date, time, and location of the incident.
02
Identify the persons involved in the accident, including witnesses if any.
03
Describe the circumstances leading to the accident in detail.
04
Provide information about any injuries or damages caused by the accident.
05
Attach any supporting documents or evidence, such as photographs or medical reports.
06
Fill out the necessary forms provided by your insurance company or employer, ensuring all required fields are completed accurately.
07
Review the filled-out form for any errors or missing information before submitting it.
08
Follow any additional instructions or requirements specified by your insurance company or employer regarding the reporting process.

Who needs non-vehicle accident - risk?

01
Anyone who has been involved in a non-vehicle accident, such as a slip and fall incident, workplace injury, or any other personal injury incident, may need to fill out a non-vehicle accident - risk form. This includes individuals seeking compensation or insurance coverage for medical expenses, damaged property, or lost wages resulting from the accident.
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A non-vehicle accident risk refers to the potential for incidents that do not involve motor vehicles, such as slips, trips, falls, or other accidents that occur in non-vehicular settings.
Individuals or organizations that have experienced a non-vehicle accident and are seeking to report it for insurance purposes or legal documentation may be required to file a non-vehicle accident risk.
To fill out a non-vehicle accident risk report, one should gather all relevant information about the incident, including details of the accident, involved parties, medical treatment received, and any witnesses, and then accurately complete the required form provided by the relevant authority or insurance company.
The purpose of reporting a non-vehicle accident risk is to document the incident for legal, insurance, and health purposes, as well as to prevent future occurrences and evaluate safety measures.
Information that must be reported includes the date and time of the accident, location, description of what happened, parties involved, any injuries sustained, and any witness contact information.
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