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NOTICE TO EMPLOYEES INJURED ON THE JOB In compliance with Board policy BRIG, procedures related to employees injured on the job must be strictly followed in recouping medical expenses or reinstatement

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Start by entering your personal information at the top of the form, including your name, address, and contact information.

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List any witnesses to the injury and include their contact information if available.

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Anyone who has experienced an injury that may be eligible for compensation or insurance claims needs to fill out the 613 injury form.

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What is 613 injury on form?

613 injury on form is a document used to report workplace injuries and illnesses.

Who is required to file 613 injury on form?

Employers are required to file 613 injury on form for any workplace injuries or illnesses.

How to fill out 613 injury on form?

613 injury on form can be filled out by providing information about the injured employee, the nature of the injury or illness, and the circumstances surrounding the incident.

What is the purpose of 613 injury on form?

The purpose of 613 injury on form is to track workplace injuries and illnesses, and to help identify trends and prevent future incidents.

What information must be reported on 613 injury on form?

Information such as the injured employee's name, date of injury, description of injury, and any medical treatment provided must be reported on 613 injury on form.

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