Adams® Accident Report Form, 1-Use Interactive Digital Legal Form

1 form

This interactive form helps you generate an employee accident report for accidents that occur on the job.

Available in increments of 1
  • Interactive form creates a report of an employee's on-the-job accident
  • Provides the date and details of incident and information on all parties involved
  • Fulfills documentation requirements of most insurance carriers, third party administrators and the Division of Worker's Compensation
  • Attorney-reviewed form valid for use in every state
  • Click the secure link in your account to begin the interactive Q&A that creates your legal form
  • Responses auto save as you work; return any time to complete your secure form at
  • Online Guidance Notes offer additional information on signing, filing, and executing your documents
  • Download to save and print your customized PDF file
More Information
Item # DLF492-SL
Purchasing Quantity 1 form
Write Your Own Review