Reporting Injuries at Work, Employee Wallet Cards (Spanish) ¿Se Lesionó en el Trabajo?

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Title Reporting Injuries at Work, Employee Wallet Cards (Spanish) ¿Se Lesionó en el Trabajo? (A fillable form - 144 KB PDF)
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 F200-010-999
Availability
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Keywords accident report, claims, espanol, incident report, industrial insurance, injured worker, injury, report injury, reporting accidents, safe workplace, safety meeting, spanish, worker, worker's compensation, workers compensation, workers' compensation
Languages Spanish , English
Valid dates 03-2006
Contact information Claims for Job Injuries
Web pages Manage Your Injury Claims
Employee Wallet Cards

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