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Workers' Compensation Claim Form (DWC 1) & Notice of Potential Eligibility Formulario de Reclamo de Compensaci n de Trabajadores (DWC 1) y Notificaci n de Posible Elegibilidad If you are injured.

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The following tips will allow you to fill out E3301 quickly and easily:

  1. Open the form in our full-fledged online editor by clicking on Get form.
  2. Fill out the required fields that are marked in yellow.
  3. Click the arrow with the inscription Next to move on from box to box.
  4. Use the e-autograph tool to add an electronic signature to the template.
  5. Put the date.
  6. Double-check the whole template to ensure that you have not skipped anything.
  7. Click Done and download your new template.

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