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Emergency and Safety Alliance
 

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Emergency and Safety Alliance

To find support and resources for federal workers, visit fedsupport.dc.gov.

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Injury Report Form


Thursday, May 21, 2009

Downloadable and printable versions of the Injury Report Form (Word and PDF) to file and keep on record.

Submit copy of the Report within 24 hours via the web-based application at http://esa.dc.gov

File SizeFile Size
Attachment(s): 
PDF icon Injury Report Form - 104.7 KB (pdf)
Microsoft Office document icon Injury Report Form - 41.5 KB (doc)