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State of Rhode Island Department of Labor and Training Division of Workers Compensation 1511 Pontiac Avenue Cranston RI 02920 Forms Revised January 2003 Form Number Title DWC-01 Employer s First Report of Alleged Occupational Injury or Disease Memorandum of Agreement DWC-03F Wage Statement Full Time Employee s Certificate of Dependency Status Suspension Agreement and Receipt Non-Prejudicial Agreement DWC-22 Report of Indemnity Payment Mutual Agre...
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What is dwc 01 ri writable?
DWC 01 RI Writable is a form used for filing the Report of Injury to the Workers' Compensation Appeals Board (WCAB) in California. It is a writable version of the standard DWC 01 form.
Who is required to file dwc 01 ri writable?
Employers in California are required to file the DWC 01 RI Writable form if an employee has suffered a work-related injury or illness that requires medical treatment or results in lost time beyond the date of injury.
How to fill out dwc 01 ri writable?
DWC 01 RI Writable can be filled out electronically using a PDF editor or by hand. The form requires information such as the injured employee's personal details, injury description, employer information, and details of the incident.
What is the purpose of dwc 01 ri writable?
The purpose of DWC 01 RI Writable is to provide a means for employers to report work-related injuries and illnesses to the WCAB in compliance with California's workers' compensation regulations.
What information must be reported on dwc 01 ri writable?
DWC 01 RI Writable requires information such as the injured employee's name, date of birth, job title, date and time of injury, description of injury, medical treatment provided, and the employer's name and contact information.
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