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Get Dc Workers Comp Compliance Form

Crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalities include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant. NOTICE OF COMPLIANCE TO EMPLOYEES 1. You are required by law to report promptly to your employer and the Office of Workers Compensation an occupational injury or disease, even if you deem it.

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