In: Nursing
To
XXX
(Supervisor)
Dear sir,
This is for your notice that I have incurred an accident in the workplace on 06/13/20 around 10 am.The accident was witnessed by Mr.YY and Mr.ZZ .I am under medical treatment for a injury on my left hand .The provider has advised for a rest and restrictions in performing certain tasks like heavy lifting, bending,kneeling .Kindly requesting you to assign me work related to my ability after the accident.
Also requesting you to issue me the incident report filed from your end to apply for medical insurance claiming.
Please reach me in case of any accident related queries.Any help will be appreciated at this time to be grateful
Thanking you
Yours sincerely
Employee name
Identity number