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JACKSON TOWNSHIP CAMBRIA COUNTY, PENNSYLVANIA WORKMEN COMPENSATION AFFIDAVIT I, the Applicant/Owner, do solemnly swear that I will not employ/hire any other persons for the project for which I am

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What is workmen's compensation affidavit?

Workmen's compensation affidavit is a legal document that is filed by employers to report any work-related injuries or illnesses suffered by their employees.

Who is required to file workmen's compensation affidavit?

Employers are required to file workmen's compensation affidavit if they have employees who have suffered work-related injuries or illnesses.

How to fill out workmen's compensation affidavit?

To fill out workmen's compensation affidavit, employers need to provide detailed information about the injured or ill employees, the circumstances of the incident, the medical treatment received, and any other relevant details.

What is the purpose of workmen's compensation affidavit?

The purpose of workmen's compensation affidavit is to ensure that employers fulfill their legal obligations to report work-related injuries or illnesses and provide the necessary compensation to their employees.

What information must be reported on workmen's compensation affidavit?

Workmen's compensation affidavit must include information about the injured or ill employee, such as their name, job title, date of injury or illness, description of the incident, medical treatment received, and any other relevant details.

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