Reporting Injuries at Work, Employee Wallet Cards
See also
| Document Information | ||
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 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
Reporting Injuries at Work, Employee Wallet Cards (A fillable form - 138 KB PDF)
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| Description | Used by employers to teach their employees about the legal requirement to report accidents at work and who to notify if they have an accident at work. After completing the Employee Wallet Card form, the employer gives a wallet card to each employee. | |
| Detail | ||
| Form number | F200-010-000 | |
| Availability | Order it |
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| Keywords | claims, espanol, incident report, industrial insurance, injured worker, injury, report injury, safe workplace, safety meeting, spanish, worker, worker's compensation, workers compensation, workers' compensation | |
| Languages | English , Spanish | |
| Valid dates | 03-2006 | |
| Contact information |
Claims for Job Injuries
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| Web pages | Manage Your Injury Claims Employee Wallet Cards |
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