Get University Of Nevada Reno C-1 2020-2025

Completing the University Of Nevada Reno C-1 form is essential for reporting injuries or occupational diseases efficiently. This guide provides clear, step-by-step instructions to help you navigate the online form, ensuring you provide all necessary information accurately.

Follow the steps to complete the University Of Nevada Reno C-1 form online.

1. Press the ‘Get Form’ button to access the C-1 form and open it in your preferred online editor.
2. Begin by entering the name of the employer. Ensure it reflects the official business name for accurate reporting.
3. Next, input your full name as the employee. This should be your legal name as recorded in official documents.
4. Provide your social security number in the designated field. Make sure to double-check this information for accuracy.
5. Enter the date and time of the accident, if applicable. This information helps establish the timeline of the incident.
6. Fill in your telephone number to allow for easy communication regarding any follow-up questions.
7. Describe the location of the accident if it's relevant. This could include the specific site or setting where the incident occurred.
8. Clearly state the nature of your injury or occupational disease in the provided section.
9. List any body parts involved in the injury to specify the areas affected.
10. Briefly describe the accident or the circumstances that led to your occupational disease. If applicable, state the date on which you became aware of the connection between the condition and your employment.
11. Record the names of any witnesses who observed the incident. This information may be crucial for your claim.
12. Indicate whether you left work due to the injury or occupational disease. If yes, provide the date and time.
13. State whether first aid was provided for your injury. If yes, specify when it was administered.
14. Answer if you have returned to work. If yes, provide the name of the person who cleared you to return.
15. If a treating physician was involved, provide their name and address, if known.
16. Indicate whether the accident occurred in the normal course of work and if anyone else was involved. Provide the names of any other individuals involved if necessary.
17. You will need to confirm that you have been notified about health care arrangements made by your employer or insurer.
18. Lastly, ensure the form is signed and dated by both the supervisor and you, the injured or disabled employee.
19. After reviewing all inputted information for accuracy, save your changes, download, print, or share the completed form as needed.

Complete your documents online today to ensure timely processing of your injury or occupational disease report.