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INSTRUCTIONS FORM SL-1904 STATEMENT OF DILIGENT EFFORT Delaware requires a minimum of three declinations from representatives of admitted insurers as evidence that a diligent effort to procure the coverage from admitted insurers was made prior to exporting the coverage to surplus lines. 1915 RETAIN AS PART OF SURPLUS LINES BROKER RECORDS THIS FORM MUST SIGNED BY THE LICENSED PRODUCING AGENT AND FORWARDED TO THE LICENSED SURPLUS LINES BROKER OR S...
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What is 1904 form?
The 1904 form is a document used for reporting work-related injuries and illnesses. It is often referred to as the OSHA Form 300.
Who is required to file 1904 form?
Employers who are covered by the Occupational Safety and Health Administration (OSHA) must file the 1904 form if they have more than 10 employees or if they are in certain high-risk industries.
How to fill out 1904 form?
To fill out the 1904 form, employers need to record all work-related injuries and illnesses that meet OSHA's criteria. They must provide information such as the employee's name, date of injury or illness, nature of the injury or illness, and treatment received.
What is the purpose of 1904 form?
The purpose of the 1904 form is to enable employers and OSHA to track and analyze workplace injuries and illnesses in order to identify potential hazards, develop safety programs, and improve overall workplace safety.
What information must be reported on 1904 form?
The 1904 form requires employers to report information about each work-related injury or illness, including details such as the employee's name, date of injury or illness, location where the event occurred, the nature of the injury or illness, and the number of days away from work.
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