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EMPLOYER'S FIRST REPORT OF INJURY OR DISEASE ... Was Employee Treated in an Emergency Room? Yes No ... Injury Description Describe Activities of Employee When Injury or Illness Occurred and What Tools,

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What is wkc 12?

WKC 12 is a form used for reporting work-related injuries and illnesses.

Who is required to file wkc 12?

Employers are required to file WKC 12 when there is a work-related injury or illness.

How to fill out wkc 12?

WKC 12 can be filled out by providing information about the injured or ill employee, the nature of the injury or illness, and details about the incident.

What is the purpose of wkc 12?

The purpose of WKC 12 is to document work-related injuries and illnesses for reporting and record-keeping purposes.

What information must be reported on wkc 12?

Information such as employee details, injury/illness details, date/time of incident, and any treatment provided must be reported on WKC 12.