E-03
Basic Details
Employee request flow · step 3 of 9
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9:41
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Basic Details
Tell us who’s injured and what happened. You can request for yourself or on behalf of a coworker.
Injured employee name
Employee ID
Found on your badge or in the company portal
What happened?
Splashed degreaser on left hand while cleaning press rollers.
A short plain-language description — your WIT reads this before arriving
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