What does the Personal Injury/Illness Investigation Report record?

It records injury and incident details, the task and circumstances involved, treatment information, an accident description, and investigation and safety-officer findings.

Who uses this report?

The form is for documenting personal injury or illness investigations involving Charlton County Fire & Rescue. It includes sections for the injured person and investigators.

Do I need a notary for the Personal Injury/Illness Investigation Report?

No. The report is signed and dated without a notary, and it lists no sworn statements or notarized attachments.

How do I submit the Personal Injury/Illness Investigation Report?

Submit it to the county department named on the form. The document does not provide an address or other submission details, so check the county website for current contact information.

Charlton County, GA · Charlton County

No notary required

Personal Injury/Illness Investigation Report

Charlton County Fire & Rescue uses this report to document an injury or illness, the circumstances, treatment, and investigation findings.

At a glance

Issued by: City of Charlton County · Charlton County, Charlton County, Georgia
Notarization: Not required: file this form without a notary.
Official source: charltoncountyga.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This report records an injury or illness involving a Charlton County Fire & Rescue member, including when and where it occurred, the nature of the injury, and the activity involved. It also provides space for the injured person’s signature, witness and treatment details, an accident narrative, and investigation and safety-officer findings and follow-up actions. The document does not state when it must be completed or how it is filed.

Who needs it

Charlton County Fire & Rescue personnel completing an investigation of a personal injury or illness can use this report.

How to submit it

Please submit it to the county department named on the form; check the county website for current contact details.

About notarization

This report is signed and dated without a notary; the form lists no sworn statements or notarized attachments.

How to submit this form

1
Download the Report
Download the Personal Injury/Illness Investigation Report PDF.
2
Complete the Incident Details
Fill in the injury, incident, treatment, witness, and investigation information requested on the form.
3
Review and Sign
Review the report and complete the signature, date, investigation, and safety-officer sections that apply.
4
Submit to the County
Submit the completed report to the county department named on the form; check the county website for current contact details.

Frequently asked questions

What does the Personal Injury/Illness Investigation Report record?: It records injury and incident details, the task and circumstances involved, treatment information, an accident description, and investigation and safety-officer findings.
Who uses this report?: The form is for documenting personal injury or illness investigations involving Charlton County Fire & Rescue. It includes sections for the injured person and investigators.
Do I need a notary for the Personal Injury/Illness Investigation Report?: No. The report is signed and dated without a notary, and it lists no sworn statements or notarized attachments.
How do I submit the Personal Injury/Illness Investigation Report?: Submit it to the county department named on the form. The document does not provide an address or other submission details, so check the county website for current contact information.

Need something notarized?

This Personal Injury/Illness Investigation Report doesn’t need a notary, but if you have another Charlton County form that does, a commissioned online notary can help.