Get a Form or Publication: report injury
Your search for "report injury" returned 3 documents.
See also
| Title | Type | Number |
|---|---|---|
| Reporting Injuries at Work, Employee Wallet Cards
Also available in: Spanish 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. |
Form, Publication | F200-010-000 |
| Reporting Injuries at Work, Employee Wallet Cards (Spanish)
Also available in: English 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. |
Form, Publication | F200-010-999 |
| Self-Insurance Report of Occupational Injury or Disease (SIF-5)
Used by only self-insured employers or their representatives to report initial time loss payments or to request interlocutory, wage, overpayment or closure orders. |
Form | F207-005-000 |
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