print MAIL "...If Contractor, employed by: $FORM{'Contractor_Employer'}\n"; print MAIL "...If Visitor, employed by: $FORM{'Visitor_Employer'}\n"; print MAIL "...If Reporting unsafe condition or other safety related issue:\n"; print MAIL "$FORM{'Unsafe_Conditions'}\n"; print MAIL "\n"; print MAIL "IDENTIFICATION DETAILS\n"; print MAIL "...Full Name of Injured: $FORM{'NameInjured'}\n"; print MAIL "...Job Title: $FORM{'JobTitle'}\n"; print MAIL "...Date Hired: $FORM{'DateHired'}-$FORM{'DHMonth'}-$FORM{'YearHired'} \n"; print MAIL "...Gender: $FORM{'Gender'}\n"; print MAIL "...Manager's Name: $FORM{'Emp_Manager ***************