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WORK RELATED INJURY / NEAR MISS Forsooth sides of this form are to be completed by the Employee immediately following Injury/Near Miss (including incidents of violent, aggressive or reactive behaviors

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The wwwemployerscommississippi-claim-formsmississippi workers compensation forms are official documents used to file claims for workers' compensation benefits in Mississippi.

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Information required includes employee details, incident description, dates of injury, medical treatment information, and any witnesses to the incident.

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