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Get Northeastern State University Occupational Injury Or Illness Employee Report

First noticed the pain? Employer: Northeastern State University Did this pain develop gradually? Or suddenly? If the pain developed suddenly, exactly what were you doing when the pain was felt? If nothing unusual or unexpected happened, what do you think caused the pain? List body parts injured: Have you discussed this pain with anyone at work? If yes, with whom and when? Yes No Have you had any recent non-work-related injuries/illnesses? If yes, please list: No Yes If the above answe.

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