Incident note

Fill in the following fields with your data in order to complete the incident note.

Insured person

Personal data

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Accident report

Accident details

   
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Accident information

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Incapacity to work

Incapacity to work



   
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Work resumption


   
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Injury

Main Injury

   
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Other injury 1

   
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Other injury 2

   
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Treatment

Initial treatment by doctor/hospital


Note for accidents without a doctor's visit: select «Doctor not found». Name: enter «no doctor visit». Postal code/Location: enter «4000 Basel».

   
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Subsequent treatment by doctor/hospital


   
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Finish

  
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We will send you the accident number by e-mail as soon as possible.

Submit attachment

Submit attachment

The document transmission is available only after successful sending of the incident.

Please remember to keep your supervisor as well as decentral HR person informed about the duration of the absence on an ongoing basis.

Help for use

Questions regarding the reporting of accidents

Please contact HR Shared Services:

+41 61 207 00 14
hrs@unibas.ch

You will find all information on the topic of accident on the intranet:

https://intranet.unibas.ch/x/dwFQAw
Version: 26401