We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Accident Report Form - W.ci.2

Get Accident Report Form - W.ci.2

W.Cl.2labour Department: Labour REPUBLIC OF SOUTH AFRICACOMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993(For official use only)Section 6(A) Annexure 13EMPLOYER 'S REPORT OF AN ACCIDENTClaim.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Accident Report Form - W.CI.2 online

Filling out the Accident Report Form - W.CI.2 is an essential step in documenting workplace accidents. This guide provides clear and step-by-step instructions to help you complete the form online with confidence.

Follow the steps to successfully complete the form.

  1. Click 'Get Form' button to obtain the form and open it in your preferred document editor.
  2. Begin with 'Part A', page 1 of the form. Fill in all required details accurately, ensuring to sign and date the form where indicated.
  3. Detach 'Part B' by tearing it at the perforation. Hand 'Part B' to the employee and advise them to present it to their medical practitioner or hospital. For serious cases, ensure 'Part B' is forwarded to the medical authorities without delay.
  4. Proceed to complete 'Part A', page 2 of the form with detailed information about the employee and the accident, ensuring to include key facts about the nature of the work being performed at the time of the incident.
  5. After completing the report, gather all necessary attachments, including a certified copy of the employee's ID and the First Medical Report (W.Cl.4) if available.
  6. Submit the completed Accident Report to the Compensation Commissioner via the specified address to ensure proper processing.
  7. Finally, choose to save your changes, download the form, print it, or share it as needed for your records.

Complete your documents online efficiently by following these steps today.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Workers' Compensation Board All Common Forms
Commonly Used Forms available for printing and mailing to the Workers' ... Afidavi pou...
Learn more
Compensation for Occupational Injuries and...
1) A medical report in respect of an accident shall be on Form W CI 4 (Annexure 15) and...
Learn more
GUIDE TO OREGON DRIVING RECORDS 2021 - State of...
driver's personal information and (2) a version that has the driver's personal information...
Learn more

Related links form

Forms For Grandparent Vivition In Pima County Arizona Hca 18 005 Rental Assistance Corporation Winery Employee Handbook

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Accident At Work Claim Time Limit Act 1974. However, as well as being aware of whether or not you're eligible to claim, it's important to know how long you can make a claim after an accident. As per the Limitation Act 1980, you generally have 3 years to begin a claim.

The Work Capability Assessment (WCA) is a test issued by the Department of Work & Pensions (DWP). The WCA helps the DWP decide whether: You have 'limited capability for work' (LCW)

2 – Employer's Report of an Accident form. BENEFITS. Health and Safety Support. Health and Safety Policies, Procedures and Practices. Health and Safety Virtual Support.

Your six-step guide The name, gender, date of birth and job title of the injured party; The date the accident happened; The date the accident was reported; The name and job title of the person logging the accident; Whether or the not the injured party is an expectant mother; and.

W.Cl.22. COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993.

Dear [Supervisor Name]: I am respectfully presenting this letter as written notice that I was involved in a work-related accident on [date of incident] at approximately [time of incident]. [I was injured / I became ill] when [give clear details involving the accident, including what led up to it].

The accident book can be filled out by anyone, but it should be checked by the qualified first aider in your workplace. It's more important that the details written in the accident book are accurate, rather than who fills it out. Ideally, someone with first-hand involvement in the accident would write the record.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Accident Report Form - W.CI.2
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232