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Fillable Form HC-5 - Department of Labor and Industrial Relations

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STATE OF HAWAII DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS DISABILITY COMPENSATION DIVISION Princess Keelikolani Building, 830 Punchbowl Street, Room 209, Honolulu, Hawaii 96813 INSTRUCTION SHEET FOR FORM HC-5 EMPLOYEE NOTIFICATION TO EMPLOYER FOR CALENDAR YEAR 2013 Instructions to Employer: Before giving the Form to the eligible employee, complete the Employer Name, DOL Account Number (Unemployment Insurance...
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