Employee’s Report of Injury Form

Form Template

The Employee’s Report of Injury Form mobile app offers a simple way to complete an on-the-job-injury report from anywhere in the field.

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The employee injury report form is used to track all of the important details about an injury or illness that occurs at the workplace as the result of an accident at work or a medical incident. To use the form, simply add details about the sick or injured employee including what type of work was being done at the time the injury or illness occurred, the date the incident report was submitted to human resources, the employee contact name and other important details. Once the incident report has been completed, both the sick or injured employee and the reporting employer can sign off on the results electronically and save them for human resources and for insurance purposes.

  • Signature Capture
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
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“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.”

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