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Registration Instructions

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Emergency Management Coordinator - Mike Willow
mike.willow@co.bee.tx.us / Office Phone: 361-621-1567
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EMPLOYER'S FIRST REPORT OF INJURY OR ILLNESS

The Employer's First Report of Injury or Illness provides information on the claimant, employer, insurance carrier and medical practitioner necessary to begin the claims process.  Details of the claimant's employment and circumstances surrounding the injury or illness are also requested.  Only City of Beeville Employee should fill out this form.

Employer's First Report of Injury or Illness Form