Get the free EMPLOYEE REPORT OF INJURY/ILLNESS
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HUMAN RESOURCES
550 E. Hospitality Lane Suite 200
San Bernardino, CA 92408
www.sbccd.eduEMPLOYEE REPORT OF INJURY/ILLNESS
SECTION I: EMPLOYEE PERSONAL INFORMATION
Employee Name Job titleCampus/DepartmentHome
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How to fill out employee report of injuryillness
How to fill out employee report of injuryillness
01
Obtain the necessary forms from your employer, such as the Workers' Compensation form.
02
Fill out the employee information section completely and accurately, including name, address, and contact information.
03
Provide details about the injury or illness, including when and where it occurred, how it happened, and the symptoms experienced.
04
Be sure to report the injury or illness to your supervisor or HR department as soon as possible.
05
Submit the completed form to the appropriate person or department according to your employer's procedures.
Who needs employee report of injuryillness?
01
Employees who have suffered a work-related injury or illness need to fill out an employee report of injury/illness.
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What is employee report of injuryillness?
Employee report of injury/illness is a document where employees report any injuries or illnesses that occur at the workplace.
Who is required to file employee report of injuryillness?
Employees who sustain a work-related injury or illness are required to file an employee report of injury/illness.
How to fill out employee report of injuryillness?
Employees can fill out the employee report of injury/illness by providing details of the injury or illness, including how it occurred and the date it happened.
What is the purpose of employee report of injuryillness?
The purpose of the employee report of injury/illness is to document work-related incidents, provide a record for the employer, and ensure that proper medical care is provided.
What information must be reported on employee report of injuryillness?
The employee report of injury/illness must include details such as the employee's name, date of birth, job title, date and time of the incident, description of the injury/illness, and any treatment received.
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