Service Accident Report - Trip Accident - Public Service (Document Template)

Ministry of Public Service

A sample of the report form for a work or commuting accident to be sent to your HRD within 15 days of the date of the accident.

The declaration form must be accompanied by a medical certificate indicating the nature and location of the injuries resulting from the accident and, where applicable, the duration of the resulting incapacity for work.

If the accident results in a work stoppage, you must transmit the work stoppage within 48 hours of its establishment.

Go to the letter template

Verified 23 September 2022 - Directorate for Legal and Administrative Information (Prime Minister)

For details, please use the practical information sheets :

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