South Dakota Hand Diagram (Form 112) (print only) is a form used to document the details of an employee’s injury or illness that occurred in the workplace. The form is used to document the details of the injury or illness, including the date of the incident, the employee’s name, job title, a description of the incident, and the nature of the injury or illness. The form also includes questions about the employee’s job duties and the type of treatment received. The form is generally used in conjunction with the South Dakota Workers Compensation Law. There are three types of South Dakota Hand Diagram (Form 112) (print only): the Employee Injury Report, the Employer Injury Report, and the Medical Report.
South Dakota Hand Diagram (Form 112) (print only)
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Hand Diagram (Form 112) (print only)
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