40 docen (Compatibility Mode - Microsoft Word References Malings Review View Table Tools Design Layout 10 2 she xx AaBbc ABC ABC ABCD Las Body copy Comment Comment Comment Emphasis Celale Followed Forn font Paragraph Employer Incident Investigation Report (ETR) Please refer to the companion quick guide for assistance completing the investigation and this form 1. Employer's information Employer's name and Operating location number Works of account number Insurance corporation of BC 12345 Employer's head office address 31852 Marshall Pl (Buckerfield's warehouse) City Province Postal code Abbotsford BC VZT 529 Employer's representative's name Phone number Morris matt 6045567477 Emad address mm icbc.ca 2. Injured persons Last name Job title a) Smith Pat Forklift operator b) c) d) 3. Place, date, and time of incident Location where incident occurred ish (United States 40 docen (Compatibility Mode - Microsoft Word References Malings Review View Table Tools Design Layout 10 2 she xx AaBbc ABC ABC ABCD Las Body copy Comment Comment Comment Emphasis Celale Followed Forn font Paragraph Employer Incident Investigation Report (ETR) Please refer to the companion quick guide for assistance completing the investigation and this form 1. Employer's information Employer's name and Operating location number Works of account number Insurance corporation of BC 12345 Employer's head office address 31852 Marshall Pl (Buckerfield's warehouse) City Province Postal code Abbotsford BC VZT 529 Employer's representative's name Phone number Morris matt 6045567477 Emad address mm icbc.ca 2. Injured persons Last name Job title a) Smith Pat Forklift operator b) c) d) 3. Place, date, and time of incident Location where incident occurred ish (United States