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Get Hawaii A9
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How to fill out the Hawaii A9 online
The Hawaii A9 form is essential for reporting work-related injuries and illnesses in accordance with the Hawaii Workers' Compensation Law. This guide provides clear and comprehensive instructions to help users complete the form accurately and efficiently online.
Follow the steps to fill out the Hawaii A9 form online.
- Click ‘Get Form’ button to obtain the form and open it in your browser.
- Begin with the Employee's Statement section. Fill in your personal information, including your name, home address, work information, and the details of the injury or illness.
- Provide the date, time, and specifics of the injury. Include a detailed description of how the injury occurred and the body part affected. Be specific to ensure clarity.
- List any equipment, tools, or materials used at the time of the incident and any protective gear you were wearing.
- If medical treatment was received, include the name and address of the medical provider. Document any previous similar injuries and relevant medical history.
- Next, complete the Supervisor’s Statement section. Include the date the injury was reported and confirm whether the Employee's description is accurate.
- Once the form is filled out, review all information for completeness and accuracy. Ensure that all required fields are completed.
- Save the changes to your document. You can then download, print, or share the form as needed for submission to the appropriate office.
Complete your documents online today to streamline your reporting process.
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