First Report of Injury Form

Form Template

This is the First Report of Injury Form app.

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This app is used to record work related deaths and/or injuries for employees. The initial screen tells the User what to expect when signing the document, the second screen is for employee information (name, address, wage rate, etc.), the third screen is insurance and treatment information, and the final screen is for the employer information. This is a great app for documenting common injuries in a particular area or if there's a particular time of year that employees get injured.

Features
  • Signature Capture
  • GPS
  • Calculations
  • Conditional Fields
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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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