Search results with tag "First report of injury or illness"
WORKERS COMPENSATION – FIRST REPORT OF INJURY OR …
www.laworks.networkers compensation – first report of injury or illness. employer (name & address incl zip) carrier/administrator claim number osha log number report purpose code jurisdiction jurisdiction claim number insured report number employer’s location address (if different) location # industry code employer fein phone # ...
EMPLOYER’S FIRST REPORT OF INJURY OR ILLNESS Rev
laborcommission.utah.govRule R612-200-1(A)(2) Except for injuries treated only by first aid, an employer shall report each employee work injury within 7 days after receiving initial notice of the injury, as follows: a. An employer that has obtained workers' compensation insurance shall report the injury to its insurance carrier.
FIRST REPORT OF INJURY OR ILLNESS SENT TO DIVISION …
www.myfloridacfo.comDWC-1 Purpose and Use Statement . The collection of the social security number on this form is . specifically authorized by Section 440.185(2), Florida