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Get Manager's /supervisor's Report Of Employee Injury Or Illness ... - Csupomona

Ts or payments is guilty of a felony. Manager s /Supervisor s Report of Employee Injury or Illness California State Polytechnic University, Pomona This report must be completed by the manager/supervisor when there is a notice or knowledge that an employee has sustained an injury or illness that may be work related. Submit the completed report to Risk Management within 1 working day of notice or knowledge of the injury/illness. The Workers Compensation Claim Form (DWC1) must be provide.

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