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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 04 02 (Ed. 484) ANNIVERSARY RATING DATE ENDORSEMENT The premium and rates for this policy, and the experience rating modification
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Who needs wc 00 04 02?
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Individuals who have been involved in a workplace incident or sustained an injury on the job may need to fill out the wc 00 04 02 form. This form is often used for the purpose of reporting and documenting workplace incidents and injuries.
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Insurance companies and healthcare providers may also request the wc 00 04 02 form to assess the impact of a workplace incident on an individual's health and well-being, as well as to process any applicable insurance claims.
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