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You are reporting as:
Injured person's next-of-kin
Injured person
What are you reporting?
A work-related accident with injured person
An occupational disease
When did the accident happen?
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It will take about 15 minute(s) to complete this report.
You will need to provide following information:
It will take about 15 minute(s) to complete this report.
You will need to provide following information: