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Employee's Claim Form For Worker's Compensation Benefits

Form:

Document
dwc1.pdf (103.25 KB)

Department: HR

Format: PDF

Routing Instructions:

Notify Human Resources within 24 hours of the report of injury.

Description:

See link below for Quick Reference Guide for all reporteds Workers' Compensation Injuries & Illnesses. http://www.humboldt.edu/~hsuhr/employee/compensation/documents/WCProcess...

Category:

Benefit