Complete only the "employee" section. Be sure to sign and date the claim form and keep a copy for your records.Devuelva el formulario de reclamo a su empleador de inmediato en persona o por correo. Si usted envía el formulario de reclamo por correo, utilice el correo. Rates, enter a unit type in the empty box, i.e. A night that promises to inspire, unite, and celebrate the spirit of unity in healthcare. As always, this event is VIRTUAL, FREE, and open to ALL. Division 00 Contract Documents. 00 01 00 Table of Contents. Download PDF BOE-502-A REV.