Get a Form or Publication: work history
Your search for "work history" returned 8 documents.
See also
| Title | Type | Number |
|---|---|---|
| Employment History Form Spanish Formulario de Historial de Empleo
Also available in: English Used by injured worker to report their employment history for the past three years and the wages at each job. |
Form | F242-109-999 |
| Employment History Form
Also available in: Spanish Used to provide your employment history for the past three years, including self-employment and volunteer work. Please start with your most recent job and work backwards. Please list any gaps or interruptions in your work history. If you were unemployed at any time, please explain why. Did you apply for (or receive) unemployment benefits during the time period? If yes, what dates did you receive unemployment benefits? Did you seek employment during the time period? If no, why didn’t you seek employment? |
Form | F242-109-000 |
| Continuación del Historial de Trabajo Enfermedad Ocupacional
Also available in: English Injured worker fills this out to document possible occupational disease and to show work history. |
Form | F242-071-911 |
| Historial de Trabajo (Enfermedad Ocupacional)
Also available in: English Injured worker fills out this document to show more work history. This form goes with Occupational Disease & Employment History (F242-071-000). |
Form | F242-071-999 |
| Occupational Disease & Employment History
Also available in: Spanish Injured worker fills this out to document possible occupational disease and to show work history. |
Form | F242-071-000 |
| Occupational Disease & Employment History (Cont)
Also available in: Spanish Injured worker fills out this document to show more work history. This form goes with Occupational Disease & Employment History (F242-071-000). |
Form | F242-071-111 |
| Vocational Questionnaire/Work History
Also available in: Spanish Vocational Questionnaire/Work History for use by Vocational Providers serving injured workers. |
Form | F280-038-000 |
| Vocational Questionnaire/Work History - Spansih CUESTIONARIO VOCACIONAL/HISTORIA DE TRABAJO
Vocational Questionnaire/Work History for use by Vocational Providers serving injured workers |
Form | F280-038-999 |
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