Employers First Report of Alleged Occupational Injury or Disease (DWC-01) Instructions


260-5775 INACTIVE RULE

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Title 260 Department of Labor and Training
Chapter XXX Old Regulations Which Were Not Assigned Chapter-Subchap-Part
Subchapter XX Old Regulations Which Were Not Assigned Chapter-Subchap-Part
Part 5775 Employers First Report of Alleged Occupational Injury or Disease (DWC-01) Instructions
Type of Filing Adoption
Regulation Status Inactive
Effective 10/04/2009 to 12/01/2017

Regulation Authority:

28-32-1

Purpose and Reason:

Changes include a larger font for better readability, employer mailing address rather than physical address and employee's name as it appears on social security card rather than as is appears on payroll