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Nevada is unique in that it caps payroll at $36,000 regardless of job classification or position. Sometimes out-of-state brokers and agents are unaware of this fact and end up over-charging insureds.
Filing A Workers' Compensation Claim The C-4 form is titled ?Employee's Claim for Compensation/Report of Initial Treatment?. The physician fills out their part of the form, and sends a copy to your employer and the insurer. Be sure to get a copy for your records.
EMPLOYER'S REPORT OF INDUSTRIAL INJURY.
"NOTICE OF INJURY OR OCCUPATIONAL DISEASE" (Incident Report)
`Fill out this form to apply for workers' compensation benefits because of a work injury or work-related illness. Type or print neatly. This form may also be filled out on-line at .wcb.ny.gov.