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CCI Injury and Illness Reporting Acknowledgement Form, acknowledge that I have to be an active participant in my own healthcare. As such, I have the direct responsibility for reporting all of my injuries
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What is CCIW Injury and Illness Reporting Form?

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CCIW injury and illness refers to the California Construction Industry Wellness Program's requirement for construction industry employers to report any work-related injuries and illnesses.
All construction industry employers in California are required to file cciw injury and illness reports.
Employers can fill out the cciw injury and illness reports electronically on the CCIW website or submit paper forms by mail.
The purpose of cciw injury and illness reporting is to track and analyze work-related injuries and illnesses in the construction industry.
Employers must report details of the injury or illness, including the date of the incident, the nature of the injury, and the affected employee's information.
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