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Fill and Sign the Artwork Approval Qoutes PDF Form

Fill and Sign the Artwork Approval Qoutes PDF Form

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EMPLOYEE ACCIDENT REPORT This form is to be completed for accidents/injuries involving personnel employed by Greeneville City Schools. ALL accidents and injuries, regardless of their apparent significance should be reported on this form. This requirement applies even if no medical treatment is received at the time of injury. Employee Name_______________________ School/Department__________________________ Date of Injury__________________________ Time of Injury_______________________________ Date of Report_________________________ Place Injury Occurred_________________________ Description of Injury_________________________________________________________________ How did the accident/injury occur?_____________________________________________________ Date report made_____________________ Employee Signature__________________________ For Office Use Only Disposition RETURN THIS FORM IMMEDIATELY TO THE PERSONNEL DEPT. AT CENTRAL OFFICE. Rev. 10/07/03

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