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PRINT FORMAdminSure, Inc. CLEAR FORMSupervisors Report of Injury or Illness
(Complete for All Employee Reported Injuries)
Employer: City of Palm Springs
Department:
Name of Injured Employee:Date of
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What is adminsure inc?
Adminsure Inc is a company that provides administrative services for businesses.
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Business owners or administrators who utilize the services of Adminsure Inc are required to file.
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