Form C-4 Employee's Claim for Compensation / Report of Initial Treatment - Nevada

What Is Form C-4?

This is a legal form that was released by the Nevada Department of Business and Industry - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-4?
A: Form C-4 is an Employee's Claim for Compensation/Report of Initial Treatment.

Q: What is the purpose of Form C-4?
A: The purpose of Form C-4 is for employees in Nevada to report initial treatment for a work-related injury or illness and to file a claim for workers' compensation.

Q: Who should fill out Form C-4?
A: Form C-4 should be filled out by the employee who suffered a work-related injury or illness.

Q: What information is required in Form C-4?
A: Form C-4 requires information such as the employee's personal details, date of injury or illness, and details of initial treatment received.

Q: Is Form C-4 mandatory?
A: Yes, if you have a work-related injury or illness in Nevada, it is mandatory to fill out Form C-4 and file a claim for workers' compensation.

Q: What should I do after filling out Form C-4?
A: After filling out Form C-4, you should submit it to your employer and the appropriate workers' compensation agency in Nevada.

Q: Are there any deadlines for submitting Form C-4?
A: Yes, there are deadlines for submitting Form C-4. It should be filed within 90 days from the date of injury or illness.

Q: Can I get assistance in filling out Form C-4?
A: Yes, you can seek assistance from your employer or a workers' compensation attorney in filling out Form C-4.