Get Work Accident Notification Form - Dsal.gov.mo

Filing a work accident notification is essential for documenting any incidents that occur in the workplace. This guide provides step-by-step instructions to assist users in completing the Work Accident Notification Form online, ensuring that all necessary details are accurately provided.

Follow the steps to complete your form online effectively.

1. Click 'Get Form' button to access the Work Accident Notification Form and open it in your preferred online editor.
2. Fill in the injured person's details. Provide their name in both Chinese and foreign languages, date of birth, gender, place of origin, and residency status. Make sure to select the correct options for resident or non-resident.
3. Enter the injured person's identification information. Include the ID type and number, and provide their full address and local mobile number.
4. Complete the employment details. State the injured person's position and hiring date, along with their latest three months' salary.
5. Provide the employer's information, including the employer's name, company name, contact person, and full address. Ensure all contact details are accurate.
6. Describe the accident. Specify the place of the accident, date, time, and whether it occurred during working hours, while on the way to work, or while leaving work.
7. Include a brief description of the accident, specify if medical treatment was received, and provide the number of days absent if applicable.
8. Mark the parts of the body injured and indicate the causes of the accident by selecting the appropriate checkboxes.
9. Add the signature of the submitter and ensure that the date of submission is filled out correctly.
10. Review all filled details for accuracy. Once completed, users can save changes, download, print, or share the form as necessary.

Complete your Work Accident Notification Form online today to ensure prompt processing of your case.