Washington Accident - Injury Report

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US-429EM
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This form is used to document accidents and/or work-related injuries.

How to fill out Accident - Injury Report?

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FAQ

According to the Washington State Patrol you must file a Motor Vehicle Collision Report in Washington state if anyone is injured or if any party's damage meets or exceeds $1000. Typically, law enforcement will file this report for you when you call them to the scene.

Call 911 and inform them of any injuries....Be sure to exchange the following:Name, address, phone numbers of all drivers.Name, address, phone number of all passengers or witnesses.Driver's license numbers and license plate numbers.Insurance companies of all drivers involved.Registered owners of all cars.

Get first aid at your workplace; all employers in Washington are required to provide a first-aid kit. If further treatment is necessary, go to the emergency room or health2011care provider of your choice and tell them you were injured at work.

You should make a police report when the accident involves a government vehicle, damage to government property, a foreign vehicle, a pedestrian or cyclist, a hit-and-run case, or an injury requiring hospitalisation or medical leave of 3 days or more.

If you would like to download a copy of the paper report, click this link Motor Vehicle Collision Report. Follow the instructions and mail it to Collision Records Section P.O. Box 42628 Olympia, WA 98504-2628; or email the completed form, with signature, to collisionrecords@wsp.wa.gov.

If there is a serious injury or illness, a death or a dangerous incident, you must report it to us immediately on 13 10 50 as an urgent investigation might be needed. Incidents can be notified 24 hours a day, 7 days a week by calling 13 10 50.

Additional information, including edited copies of investigation files may be available through Freedom of Information. For assistance with your application, please contact Public Access on 61 8 6229 5900 or via email on PublicAccess@police.wa.gov.au.

According to WA Police, you must report a traffic crash when the incident occurred on a road or any place commonly used by the public (such as a carpark) and where: the incident resulted in bodily harm to a person; or. the total value of property damaged to all involved parties exceeds $3000; or.

Injuries must be reported within one year. Diseases must be reported within two years after receiving written notice from a doctor that the condition exists and is workrelated. In Washington, you must also file a claim for industrial insurance benefits.

L&I or your self-insured employer must receive your Report of Accident within 1 year of your injury date to file a claim. We must receive it within two years from the date of your doctor's diagnosis for occupational disease claims.

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Washington Accident - Injury Report