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The Community Foundation of Middle Tennessee The Father Ryan Faculty Assistance Fund Life-Threatening or Serious Illness or Injury Incident Application INSTRUCTIONS: The Father Ryan Faculty Assistance
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How to fill out life-threatening or serious illness/injury:

01
Begin by gathering all relevant information about the individual experiencing the life-threatening or serious illness/injury. This may include their personal details, medical history, and any other pertinent information.
02
Fill in the necessary forms or documents provided by the appropriate healthcare or emergency services. Make sure to accurately provide all required information, such as the individual's name, contact details, and a detailed description of the illness or injury.
03
Include specific details about the symptoms, onset, and any previous treatments or medications received. This will help healthcare professionals evaluate the severity of the illness/injury and determine the appropriate course of action.
04
If applicable, provide information about any witnesses or individuals who were present at the time of the incident. This can be helpful in understanding the context and circumstances surrounding the illness/injury.
05
Keep a copy of the filled-out forms for your records and also provide necessary copies to the relevant healthcare providers or emergency services.

Who needs life-threatening or serious illness/injury?

01
Individuals who are experiencing a life-threatening or serious illness/injury themselves, or their legal guardians if they are unable to fill out the necessary forms.
02
Healthcare professionals and emergency services require this information in order to provide timely and appropriate medical assistance.
03
Insurance providers may also require this information to evaluate claims related to the illness/injury and provide necessary coverage.
04
In some cases, legal authorities or employers may request this information for legal or administrative purposes.

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Life-threatening or serious illness/injury refers to a medical condition or injury that could potentially result in death or permanent disability.
Employers are required to file a report for any life-threatening or serious illness/injury that occurs in the workplace.
The report should be filled out with detailed information about the incident, including the nature of the illness/injury, how it occurred, and any immediate actions taken.
The purpose of reporting life-threatening or serious illness/injury is to ensure that proper steps are taken to prevent similar incidents in the future and to provide necessary support to the affected individual.
The report must include details about the affected individual, the nature of the illness/injury, how it occurred, and any medical treatment provided.
The deadline to file life-threatening or serious illness/injury in 2023 is typically within 24 hours of the incident.
The penalty for late filing of life-threatening or serious illness/injury may vary depending on the regulations in place, but it can result in fines or other consequences for the employer.
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