FORM OF ACCIDENT REPORT. To the Commission of Gas and Electricity, Albany, N. Y.: Gentlemen.-Pursuant to your directions, we hereby notify you Nature and extent of injury. Is death probable.. Probable duration of disability. Name of attending physician. Address of attending physician... Was injured person obeying instructions at time of accident..... By whom were these instructions given.. Was accident due to negligence of injured person.. Give an exact and detailed description of the accident and its cause, supplementing by a sketch if same will make the explanation clearer. ... |