Martin Luther University Halle-Wittenberg

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In case of an ACCIDENT

In case of an accident, the following german forms have to be filled in.  Please find below also versions with a translation to english which  will help you to fill in the german forms. Only these have to be  forwarded to the responsible person of the institute of pharmacy. Please  find the address below.

Unfallanzeige - Accident notification (German form to be submitted)
1-Unfallanzeige_Studierende_DEU.doc (90.5 KB)  vom 04.03.2016

Wegeunfallfragebogen - Accident on journey (German form to be submitted)
2-Wegeunfallbogen DE.doc (139.5 KB)  vom 04.03.2016

For your interest: English translations of the forms to be submitted -  these translations shall help to fill in the german forms.

Accident notification
1-Accident notification Unfallanzeige_Students_ENG.doc (95.5 KB)  vom 04.03.2016

Accident on journey
2-Accident on journey Wegeunfallfragebogen-DEU+ENG.docx (135.9 KB)  vom 04.03.2016

Please send the signed documents to:

PD. Dr. Matthias Schmidt
Martin-Luther-Universität Halle-Wittenberg
Institut für Pharmazie
Wolfgang-Langenbeck-Straße 4
06120 Halle

Phone: 0345 55-25169