Employer's Initial Report of Injury - MSA

Form Template

In this mobile application, you will find everything you need to quickly file an injury report right from the place of incidence and in real time!

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Effectively manage and mitigate incidents, accidents and injuries by using this user-friendly app to record and track injury details. Easily navigate through various sections such as employer information, injury details, wage and employment, and declaration. Additionally, capture photos of injury or attachments that will aid in further explanation. Instantly verify information by signing in the app!

Features
  • Signature Capture
  • Image Capture
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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