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A LegalZoom Workplace Injury and Illness Incident Report gives you:

  • Essential Documentation

    Keep track of accidents to protect your company from later lawsuits and make your office safer for everyone who works there.

  • Do's & Don'ts

    Learn about important steps to take in the report process.

  • Sample Report

    Use this report to capture all pertinent information.

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Learn more about Workplace Injury and Illness Incident Report

Your employees are some of the most valuable resources your company has, and a key component to the growth and success of your business. Unfortunately, sometimes these employees get injured or become sick on the job because of the work they're performing. When accidents happen, it's important for your company to respond quickly to the situation, and work effectively to remedy the matter and avoid future mishaps. Part of this process is filling out a detailed workplace injury and illness report. Some local governments require that all workplace injuries be reported, complete with information about how, when, and where the accident happened.

Your employees may also need the same information to get medical treatment and to qualify for benefits. In either case, having a detailed report will help. Download LegalZoom's Workplace Injury and Illness Incident Report to create record of all work-related injuries and illnesses that occur at your company.

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Common questions

Do I need a special software to download or view legal forms online?
You will need Microsoft Word (97 or higher) to download and use the legal documents, and Adobe Acrobat Reader to download the form instructions. You can download Acrobat Reader for free here.
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You can use the form as many times as you want for personal use or, if you are an attorney, for your clients. You may not transfer the form to any other third party for their use. For more information on LegalZoom policies, see our Terms and Conditions.
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