Employee Injury Report - City of Toledo, Ohio
Incident Report - City of Toledo, Ohio
Osha Employee's Report of Injury Form
Form LS-274 Report of Injury Experience of Insurance Carrier or Self-insured Employer
Form BMV2151 Employer/Employee Request for National Driver Register (Ndr) File Check on Current or Prospective Employee - Ohio
IRS Form 4070 Employee's Report of Tips to Employer
GSA Form 3620 Report of GSA Property Damage or Non-GSA Employee Personal Injury
USAFE Form 61 Accident/Incident Report on Occurrences During the Carriage of Dangerous Goods/Hazardous Waste
AE Form 55-50B Accident/Incident Report on Occurrences During the Carriage of Dangerous Goods/Hazardous Waste
Form CA-1 Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation
VA Form 21P-8416B Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death
Form 201 Notice of Employee's Injury or Death
Public Pool and SPA Injury Incident Report Form - Ohio
Form LS-201 Notice of Employee's Injury or Death
Form C-110 (BWC-1233) Employer/Employee Agreement to Select Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio
Form BWC-1235 (C-112) Employer/Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio
Form C-112 (BWC-1235) Employer/Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio
USAFE BASE IMT Form 50 Report of Injury for Portuguese Employees (English/Portuguese)
USAFE-AFAFRICA Form 61 Accident/Incident Report on Occurrences During the Carriage of Dangerous Goods
DA Form 2397-9 Technical Report of U.S. Army Aircraft Accident, Part X - Injury/Occupational Illness Data
Form HUD-795 Supervisor's Report of Occupational Injury, Illness, Accident or Fire
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