Hit enter to search or ESC to close
Prestigious Nursing - A Nurse Staffing Agency
  • Home
  • Who We Are
  • Services
  • Contact Us
  • Apply
    • Current Openings
    • Careers
    • Referrals
  • Resources
    • Timesheets
    • Blog
    • Employee Accident Report Form
    • Incident Report Form
    • Clinical Complaint Form
  • CALL US TODAY

Employee Accident Report

This form should be used to report all work-related injuries and should be completed by the employee and sent to Prestigious Nursing as soon as practicable after the injury.
  • Injury Information

  • MM slash DD slash YYYY
  • :
  • By typing your name above, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this Employee Accident Form.

Contact

  • 3413 Oak Ridge Avenue, Lubbock, Texas 79407, United States
  • (806) 589-2092, Office
  • (888) 817-6857, Toll-Free
  • (325) 939-2570, Fax

Hours

Mon - Fri
8:00 am – 5:00 pm
Sat - Sun
Closed
Timesheets

© 2022 Prestigious Nursing - A Nurse Staffing Agency.

  • Home
  • Who We Are
  • Services
  • Contact Us
  • Apply
    • Current Openings
    • Careers
    • Referrals
  • Resources
    • Timesheets
    • Blog
    • Employee Accident Report Form
    • Incident Report Form
    • Clinical Complaint Form
  • CALL US TODAY

Apply Online

    Please note that we require all of our applicants to have the following: current licensure, current TB skin test, valid CPR certification, and a valid driver's license.
  • Drop files here or
    Max. file size: 32 MB, Max. files: 3.
    • Max. file size: 32 MB.
    • This field is for validation purposes and should be left unchanged.
    Referral Form
    • Current Employee Information

    • Referred Applicant Information

    Have Questions?

    Simply fill out this form below with any questions you may have. We will respond within 1-2 business days.

    Contact Us

    • This field is for validation purposes and should be left unchanged.
    In Need of Services?
    • This field is for validation purposes and should be left unchanged.