Get Augusta University Incident Notice Only 2016
FOR REPORTING PURPOSE ONLY Augusta University INCIDENT NOTICE ONLY Instructions: Complete this form for record of incidences that DO NOT require medical treatment and fax to Benefits and Data Management at 706-721-1996. For occupational injuries requiring medical attention or lost work days, call the Telephonic Reporting Center at 1-877-656-RISK (7475) within 24 hours of knowledge of injury. Section A: To be completed by Employee Date incident reported: Name of employee.
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