Report of a case of disease

Date published: 20 January 2022

To make a report of a work-related disease, please complete the following form:Report of a case of diseaseOr you can download a blank template to complete below:

Documents

• NI2508A Report of a case of disease (non-accessible content) Adobe PDF (36 KB)
• NI2508A Report of a case of disease (accessible content) Adobe PDF (36 KB)

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