Documents tagged "Injury"
Found 3 documents with this tag
DOJ-OGR-00026328.jpg
The image displays a document with a header that reads "Bureau of Indian Affairs," followed by the subheading "Health Services." The document appears to be an official form or report related to the health services provided by the Bureau of Indian Affairs. It includes sections for "Date," "Injury/Illness Description," and other details such as "Time Injured," "Cause," and a section titled "Work Status After." There is also a table with columns labeled "Body Part Injured," "Type of Injury or Illness," and "Details." The form seems to be used for recording workplace injuries or illnesses within the context of the Bureau's health services.
DOJ-OGR-00026221.jpg
The image displays a document titled "Injury Assessment" from the Bureau of Prisons Health Services. It contains various fields such as date and time, name of officer, case number, incident location, and brief information about the event which includes an accident with injury to the leg. There is also a red highlighted area indicating an action item or important note related to the injury assessment, though the specific content within this highlight is not clear in the image provided. The document appears to be part of official records or paperwork related to health and safety within a correctional facility.
DOJ-OGR-00026073.jpg
The image shows a document with various texts and signatures, indicating it is an official form or letter of some sort. The text includes a reference to the "U.S. Department of Health and Human Services" and a section titled "Statement in Support of Claim for Compensation Under the National Vaccine Injury Compensation Program." There's also a date mentioned as "12/05/2008," suggesting when the form was signed or filled out. The document appears to be certified or acknowledged by a person whose name is partially visible at the bottom right corner, though it is redacted for privacy reasons.