GSA Form 3623 Supervisor's Supplemental Report of GSA Employee Injury / Illness

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.

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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{class="scroll_to"} 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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  • GSA Form 3623 Supervisor's Supplemental Report of GSA Employee Injury/Illness

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  • GSA Form 3623 Supervisor's Supplemental Report of GSA Employee Injury/Illness, Page 2

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  • GSA Form 3623 Supervisors Supplemental Report of GSA Employee Injury / Illness, Page 1
  • GSA Form 3623 Supervisors Supplemental Report of GSA Employee Injury / Illness, Page 2
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