• EMPLOYER INCIDENT REPORT

  • All claims should be reported to Strategic Focus within 24 hours of any reported employee incident.

  • Strategic Focus 

    3540 E. Broad St. Store 6870 #126 Mansfield, Tx 76063

    Phone 214-888-6776 Fax: 1 214 833 7257

    Email: claims@stratfocusllc.com

  • THIS FORM TO BE COMPLETED B THE EMPLOYER

  • INJURED WORKER INFORMATION

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  • DETAILS OF INCIDENT

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  • EMPLOYER INCIDENT REPORT CONTINUED

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  • All claims should be reported to Strategic Focus within 24 hours of any reported employee incident.

    Email the completed forms to claims@stratfocusllc.com

     

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