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Web Notice Of Injury Or Occupational Disease (Incident Report) Pursuant To Nrs 616C.015 Name Of Employer Name Of Employee Social Security Number
You sign it, and have your employer sign it. Gross earnings will include overtime, bonuses, and other remuneration, but will. This form should be filled out immediately after the accident by the employee’s supervisor/manager. Web notice of injury or occupational disease reset form notice of injury or occupational disease (incident report) pursuant to nrs 616c.015 name of.