Get D Claration D'accident Laa Bagatelle - Vaudoise Assurances - Vaudoise

This guide provides a comprehensive, step-by-step approach to completing the D Claration D'accident LAA Bagatelle form. It is designed to assist users with varying levels of experience in navigating the necessary components of this online document.

Follow the steps to effectively complete the form online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the employer section by entering the employer's name, address, contract number, phone number, email, and fax number.
3. Next, provide details about the injured person. Fill in their name, address, insurance number, contract number, phone number, email, date of birth, and nationality.
4. Indicate the engagement details by specifying the number of employees, job position, work place sector, contract type, and working hours for both the injured person and the company.
5. In the accident section, enter the accident date and time, including the location and type of accident.
6. In the facts section, provide a detailed description of the accident, including the activities of the injured person at the time of the incident and any objects or vehicles involved.
7. Complete the report section by listing all involved parties and indicating whether a police report has been filed.
8. Documents on non-professional accidents and injury information should also be filled out, including the reason for absence and details about the injury sustained.
9. In the special cases section, mention any additional employers if applicable.
10. Finally, review all entered information for accuracy. Once completed, you can save changes, download, print, or share the document as necessary.

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