Employee Accident

Save, fill-In The Blanks, Print, Done!

Click on image to zoom / Click button below to see more images
Adobe Acrobat (.pdf)

  • This Document Has Been Certified by a Professional
  • 100% customizable
  • This is a digital download (100.71 kB)
  • Language: English
  • We recommend downloading this file onto your computer.

ABT template rating: 8

Malware- and virusfree. Scanned by: Norton safe website

How to draft a Employee Accident? Download this Employee Accident template now!

We support you and your company by providing this Employee Accident HR template, which will help you to make a perfect one! This will save you or your HR department time, cost and efforts and help you to reach the next level of success in your work and business!

This Employee Accident has ways to grab your reader’s attention. It is drafted by HR professionals, intelligently structured and easy-to-navigate through. Pay close attention to the most downloaded HR templates that fit your needs.     

Download this Human Resources Employee Accident template now!

Part I – To Be Completed By Injured/Ill Employee/Volunteer Employee Volunteer Student Employee Name of Injured Person: Home Telephone: Home Address: City: Zip: Date of Birth: Employee : Work Location: Campus Department: Job Title or Occupation: Average Hours worked per week: Average hours worked per day: M T W Th Fr Sa Su Employee’s Supervisor: Department Phone : WHEN AND WHERE DID THIS HAPPEN Date of Injury: Time of Injury: Date Reported: Time Reported: Location of Injury (Campus) Exact location of injury (Building, Room ) (If injury happened off-site indicate location, address, city and zip:) HOW DID THE INJURY OCCUR Describe what happened and what you were doing just prior to the injury..

Also interested in other HR templates? Browse through our database and have instant access to hundreds of free and premium HR documents, HR forms, HR agreements, etc

Nothing on this site shall be considered legal advice and no attorney-client relationship is established.

Leave a Reply. If you have any questions or remarks, feel free to post them below.

default user img

My son is now an ‘entrepreneur’. That’s what you’re called when you don’t have a job. | Ted Turner