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Appendix XIII Form for Reporting Electrical Accidents (See Rule 44 A) 1. Date and time of Accident2. Place of Accident:(Village/Town/Than) District and State:3System and Voltage of supply:(Whether

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How to fill out intimation of accidents form

01

Start by providing personal information such as the policyholder's name, contact details, and policy number.

02

Next, fill in the details of the accident, including the date, time, and location.

03

Describe the nature of the accident and provide any additional information that may be relevant.

04

Include details of any injuries sustained during the accident, whether it was to yourself or any other parties involved.

05

If there were any witnesses to the accident, make sure to note their contact information.

06

Lastly, sign and date the form before submitting it to the appropriate authority or insurance company.

Who needs intimation of accidents form?

01

Anyone who has been involved in an accident and wants to file a claim with their insurance company should fill out the intimation of accidents form.

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What is intimation of accidents form?

The intimation of accidents form is a document used to report any accidents or incidents that occur within an organization.

Who is required to file intimation of accidents form?

Employers, employees, or any individuals who witness an accident or incident are required to file the intimation of accidents form.

How to fill out intimation of accidents form?

The form can be filled out by providing details such as date and time of the accident, location, individuals involved, description of the incident, and any other relevant information.

What is the purpose of intimation of accidents form?

The purpose of the intimation of accidents form is to ensure that accidents or incidents are properly documented and reported to the relevant authorities for investigation and analysis.

What information must be reported on intimation of accidents form?

The intimation of accidents form typically requires information such as date, time, location, description of the incident, individuals involved, and any other relevant details.

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