Report of Claimed Occupational Injury or Illness

Description:

The Report of Claimed Occupational Injury or Illness Form keeps a record of which employees have filed injury or illness complaints.

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Form Specifications:

Dimensions	Designed for Letter Size (8.5" x 11")
Printer compatibility	Designed to print on all ink-jet and laser printers
Editable	MS Word 97 or later
Format
Platforms
Usage	Unlimited number of prints
Download time	Less than 1 minute (approx.)

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HR 360, Inc., 400 Main Street, 4th Floor, Stamford, CT 06901 | 800-552-8211