AF Form 784 – Usaf Nonappropriated Fund Workers’ Compensation Record

FINDERDOC.COMAF Form 784 – Usaf Nonappropriated Fund Workers’ Compensation Record – AF Form 784, also known as the Usaf Nonappropriated Fund Worker’s Compensation Record, is an essential document for any personnel of the United States Air Force working in a non-appropriated fund environment. This form is used to document any medical care or services that are provided to an employee due to an injury or illness related to their work. It also serves as a record of any compensation paid out for these injuries.

Download AF Form 784 – Usaf Nonappropriated Fund Workers’ Compensation Record

Form Number AF Form 784
Form Title Usaf Nonappropriated Fund Workers’ Compensation Record
File Size 36 KB
Date 21-12-2022

What is an AF Form 784?

AF Form 784, also known as the USAF Nonappropriated Fund Workers’ Compensation Record, is a document used to report injuries or illnesses that occur while an employee is working for the Air Force. The form provides information about the injury or illness and is used to help the Air Force process workers’ compensation claims. It includes sections for reporting details such as type of injury, body part affected, date of injury/illness, location of incident, and any medical treatment received. It also contains a section where an employer can provide comments on the incident if needed.

The AF Form 784 must be filled out by both employers and employees in order to ensure that all necessary information is provided when filing a claim.

What is the Purpose of AF Form 784?

AF Form 784 is a document used by Nonappropriated Fund (NAF) workers for the United States Air Force. It is designed to provide evidence of an employee’s injury or illness, and serves as a record of the work-related incident. The form records the date, time, and place of the incident; any witnesses present; medical treatment received; diagnosis of the condition; and other pertinent information related to its cause.

The purpose of AF Form 784 is twofold: firstly, it serves as a legal document that can be used in proceedings when filing for compensation due to an on-the-job injury or illness. Secondly, it provides employers with valuable information about potential safety hazards in their workplace.

Where Can I Find an AF Form 784?

AF Form 784, also known as the USAF Nonappropriated Fund Workers’ Compensation Record, is an official form issued by the Air Force. This form serves as a record of all non appropriated fund workers who have experienced a work-related injury or illness. It provides information about the date of incident, type of injury or illness, description of injury or illness, and other important details. The form must be filled out in full before any further action can be taken to process the worker’s compensation claim.

The AF Form 784 can be found on the official website for The Air Force Civilian Personnel Office (AFCPO). There are various versions of this form available for download from their website in either Adobe Acrobat PDF format or Microsoft Word format.

AF Form 784 – Usaf Nonappropriated Fund Workers’ Compensation Record

The AF Form 784 is an important document that all USAF Nonappropriated Fund (NAF) workers must complete in order to report any injuries they experience while on the job. This form is used to ensure that injured employees receive compensation for their losses and medical expenses.

In addition to documenting any accidents or injuries, this form also requires the employee to provide details about the incident, such as a description of the event and contact information for witnesses. The NAF worker’s supervisor must also fill out a portion of the form, certifying that workplace safety measures were met prior to the incident occurring. Upon completion of all parts of the AF Form 784, it must be signed by both parties before being submitted to USAF personnel for processing.

AF Form 784 Example

AF Form 784 - Usaf Nonappropriated Fund Workers' Compensation Record
AF Form 784 – Usaf Nonappropriated Fund Workers’ Compensation Record