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GSA Form 3623 Supervisor's Supplemental Report of GSA Employee Injury / Illness
What Is GSA Form 3623?
This is a legal form that was released by the U.S. General Services Administration on April 1, 1991 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is GSA Form 3623?
A: GSA Form 3623 is a Supervisor's Supplemental Report of GSA Employee Injury/Illness.
Q: What is the purpose of GSA Form 3623?
A: The purpose of GSA Form 3623 is to report injuries or illnesses of GSA employees.
Q: Who is required to complete GSA Form 3623?
A: Supervisors of GSA employees are required to complete GSA Form 3623.
Q: What type of information is included in GSA Form 3623?
A: GSA Form 3623 includes information about the injury/illness, treatment received, and any work restrictions.
Form Details:
- Released on April 1, 1991;
- The latest available edition released by the U.S. General Services Administration;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of GSA Form 3623 by clicking the link below or browse more documents and templates provided by the U.S. General Services Administration.
Download GSA Form 3623 Supervisor's Supplemental Report of GSA Employee Injury / Illness
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