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DOC-WC-4 (Rev. 04/00, Est. 1/91) STATE OF NORTH CAROLINA DEPARTMENT OF CORRECTION EMPLOYEE'S INITIAL REPORT OF INJURY Every question must be answered in the Employee's Handwriting Name of Injured:.

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Hawaii Dept. The basic purpose of the Workers' Compensation is to provide wage replacement benefits and medical treatment for employees who have been injured or become ill due to a work-related injury or illness. It prevents the employer from bearing the costs of injuries that occur during normal business operations.

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.

(2) Primary Treating Physician's Permanent and Stationary Report (Form PR-3) issued in ance with section 9785(h). Use Code WC003.

Adjudication is the legal process of resolving a dispute of any outstanding issue(s) from a Workers' Compensation claim which may be presented to an Administrative Law Judge.

Hawaii law requires every business with employees to carry workers' compensation insurance. This policy provides medical benefits for employees who are injured on the job.

Under California worker' compensation law, an employer cannot terminate a person's employment just because they sustained an injury on the job or decided to file a workers' comp claim. However, this does not mean that the employer cannot terminate a person for any reason at all.

WC-5 Vinyl Acrylic CoatingVimasco2022-01-10T19:48:56+00:00. WC-5 is a heavy-bodied, water-based, vinyl acrylic mastic, for use over all types of insulation systems, both indoors and outdoors.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232