Nebraska Injury Absence Report

State:
Multi-State
Control #:
US-AHI-276
Format:
Word; 
Rich Text
Instant download
This website is not affiliated with any governmental entity
Public form

Description

This AHI form is used to document an absence due to work-related injury. The form also includes the number of hours lost due to the injury. This form must be submitted prior to the close each pay period.

How to fill out Nebraska Injury Absence Report?

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Nebraska Injury Absence Report