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OMB No. 15130020 1 of 2 https://www.ttbonline.gov/colasonline/viewColaDetails.do?actionpubli... OMB No. 15130020 (01/31/2009) FOR TT USE ONLY DEPARTMENT OF THE TREASURY ALCOHOL AND TOBACCO TAX AND

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Who needs bwc-ca-15011?

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Employees who have encountered a workplace injury or illness that requires a claim or complaint to be filed may need to use form bwc-ca-15011. This form helps facilitate the reporting and documentation process.

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What is bwc-ca-15011?

bwc-ca-15011 is a form used for reporting workplace injuries and illnesses in the state of California.

Who is required to file bwc-ca-15011?

Employers in California are required to file bwc-ca-15011 for any workplace injuries or illnesses that occur.

How to fill out bwc-ca-15011?

To fill out bwc-ca-15011, employers need to provide detailed information about the injured or ill employee, the nature of the injury or illness, and the circumstances surrounding the incident.

What is the purpose of bwc-ca-15011?

The purpose of bwc-ca-15011 is to ensure that workplace injuries and illnesses are properly documented and reported in accordance with California state regulations.

What information must be reported on bwc-ca-15011?

Information that must be reported on bwc-ca-15011 includes details about the injured or ill employee, the nature of the injury or illness, and the circumstances surrounding the incident.

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