Employee Incident/Accident Report Form
Complete this report form for any incident or accident (definitions are below).

Incident: An incident is an event in which an employee is injured or has an illness, while at work, but does not require medical attention.

Accident: An accident is an event in which an employee is injured or has an illness, while at work, but does require medical attention. A 801 (Workers' Compensation) form is required when an employee seeks medical attention.

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