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Witness Statement
Witness Statement
Boris Bauer
2019-09-24T11:46:24-04:00
Please describe the incident to the best of your ability.
Witness Supervisor
Where do you work?
*
Your Name
*
Name of Injured Worker
*
Are you the Injured Worker's Supervisor
*
Yes
No
Did you witness?
*
Yes
No
If you did not witness, how did you hear about it?
Describe the Incident
*
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