This report is to be completed by NewLife Fertility employees when an occupational (work-related) illness or incident occurs. Submittal of an Occupational Incident Report is not filing a claim for workers’ compensation benefits.

  • All mandatory fields need to be filled
  • If the employee is unable to complete an Occupational Incident Report, the supervisor must report the Incident on their behalf.
  • If you have any questions, please contact your manager

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