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INJURY REPORT FORM
All sections must be completed and this form submitted to Basketball ACT within 7 days of the
injury. Section 1 Personal Details (To be completed by injured player or on their behalf)
Player
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How to fill out injury report form

How to fill out injury report form
01
Obtain the injury report form from your employer or human resources department.
02
Fill out the basic information section, including your name, contact information, and job title.
03
Describe the details of the injury, including when and where it occurred, what you were doing at the time, and any witnesses present.
04
Include any medical treatment you have received for the injury, including doctor's visits, prescribed medications, and physical therapy.
05
Sign and date the form to certify that the information provided is accurate.
Who needs injury report form?
01
Employees who have suffered a work-related injury or illness and are seeking compensation or medical treatment.
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What is injury report form?
An injury report form is a document used to record details of an injury that occurs in the workplace or during work-related activities, providing information about the incident, the injured person, and any relevant circumstances.
Who is required to file injury report form?
Employers, supervisors, and sometimes employees themselves are required to file an injury report form when an injury occurs in the workplace.
How to fill out injury report form?
To fill out an injury report form, one should provide details regarding the incident, including the date and time of the injury, the location, the nature of the injury, a description of how the injury occurred, and any witnesses present.
What is the purpose of injury report form?
The purpose of an injury report form is to formally document workplace injuries for legal, insurance, and safety purposes, enabling proper follow-up and prevention measures.
What information must be reported on injury report form?
Information that must be reported includes the name and contact information of the injured person, details of the injury, the circumstances leading to the incident, and any immediate actions taken following the injury.
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