Nassau New York Notification of Workers' Compensation Injury - Illness

State:
Multi-State
County:
Nassau
Control #:
US-294EM
Format:
Word; 
Rich Text
Instant download
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Public form

Description

This form is used to inform a worker's compensation firm of an injury or illness of sustained by an employee while on duty.

How to fill out Nassau New York Notification Of Workers' Compensation Injury - Illness?

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Nassau New York Notification of Workers' Compensation Injury - Illness