Form WC-1 Employer's Report of Industrial Injury - Hawaii

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Form WC-1 Employer's Report of Industrial Injury - Hawaii

What Is Form WC-1?

This is a legal form that was released by the Hawaii Department of Labor & Industrial Relations - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form WC-1?
A: Form WC-1, also known as the Employer's Report of Industrial Injury, is a document used in Hawaii to report workplace injuries.

Q: Who needs to fill out Form WC-1?
A: Employers in Hawaii are required to fill out Form WC-1 when an employee sustains a work-related injury or illness.

Q: What information is needed on Form WC-1?
A: Form WC-1 requires details about the employee, the injury or illness, and the employer's insurance coverage.

Q: When should Form WC-1 be filled out?
A: Form WC-1 should be filled out as soon as possible after the employee's injury or illness occurs.

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Form Details:

  • Released on September 1, 2016;
  • The latest edition provided by the Hawaii Department of Labor & Industrial Relations;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form WC-1 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Labor & Industrial Relations.

Download Form WC-1 Employer's Report of Industrial Injury - Hawaii

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  • Form WC-1 Employers Report of Industrial Injury - Hawaii, Page 1
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