AF-FORMS.COM – AF Form 784 – USAF Nonappropriated Fund Workers’ Compensation Record – The AF Form 784 is an essential form for any member of the United States Air Force Nonappropriated Fund (USAFNAF) who may require workers’ compensation benefits. This document serves as a record of the employee’s official claim and provides details about the type, duration, and amount of compensation they are eligible for.
Download AF Form 784 – USAF Nonappropriated Fund Workers’ Compensation Record
| Form Number | AF Form 784 |
| Form Title | USAF Nonappropriated Fund Workers’ Compensation Record |
| Edition Date | 21 Dec 2022 |
| File Size | 36 KB |
What is an AF Form 784?
AF Form 784 is an essential document for personnel of the United States Air Force’s Nonappropriated Funds Program. The form is used to document and process workers’ compensation claims filed by employees of the NAF program. It provides information regarding an employee’s injury or illness that occurred while on the job and documents any lost wages, medical treatments, and other benefits received as a result of their employment.
The form consists of two parts: Part 1 collects personal information about the employee such as name, address, birth date, Social Security number, etc., while Part 2 records details about their workplace incident including date of injury/illness and description of how it occurred. Additionally, this section also contains data regarding potential witnesses to the incident or any safety hazards present at the time.
Where Can I Find an AF Form 784?
AF Form 784 is an important form for USAF Nonappropriated Fund Workers’ Compensation Records. It is a record of the employee’s case taken by the Air Force in order to protect them from any unforeseen incidents while they are working. The AF Form 784 is available on many websites and can be obtained free of charge.
The Department of Defense provides copies of the form directly on its website, as well as through email and fax requests. Additionally, individuals may visit any US Air Force Base Personnel Support Detachment (PSD) or Legal Office to request a copy of the form in person.
Both military personnel and civilian employees need this form to get proper compensation if they suffer from injuries due to accidents or occupational diseases acquired during duty hours.
AF Form 784 – USAF Nonappropriated Fund Workers’ Compensation Record
The AF Form 784, USAF Nonappropriated Fund Workers’ Compensation Record is designed to provide an overview of how the Air Force provides financial assistance to military personnel and civilian employees injured while performing their duties. This form is used to document any incidents that lead to injury and the medical treatment associated with those injuries. It also records all related expenses, including lost wages and medical costs. The form also serves as a legal document in case a worker’s compensation claim is filed.
The AF Form 784 allows both military personnel and civilian workers to accurately report their workplace injuries, resulting medical treatments, and associated financial losses due to injury-related absences from work. It also enables supervisors or other appropriate personnel responsible for managing worker safety programs in their units or organizations to track the incident reports related to such events.
AF Form 784 Example
