Form S-41A Incident / Injury Report Form - Rhode Island

What Is Form S-41A?

This is a legal form that was released by the Rhode Island Department of Administration - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form S-41A?
A: The Form S-41A is an Incident/Injury Report Form.

Q: What is the purpose of the Form S-41A?
A: The purpose of the Form S-41A is to report incidents or injuries.

Q: Who needs to fill out the Form S-41A?
A: Anyone who is involved in an incident or injury in Rhode Island needs to fill out the Form S-41A.

Q: What information is required on the Form S-41A?
A: The Form S-41A requires information such as the date, time, location, description of the incident or injury, and contact information of the person reporting the incident.

Q: Is the Form S-41A only for workplace incidents?
A: No, the Form S-41A can be used to report incidents or injuries that occur outside of the workplace as well.

Q: What should I do once I have filled out the Form S-41A?
A: Once you have filled out the Form S-41A, submit it to the appropriate authority as directed on the form.

Q: Are there any deadlines for submitting the Form S-41A?
A: Yes, the Form S-41A must be submitted within 10 days of the incident or injury.

Q: Are there any fees associated with submitting the Form S-41A?
A: No, there are no fees associated with submitting the Form S-41A.