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STATE OF CALIFORNIA STANDARD AGREEMENT STD 213 (Rev 08/17) AGREEMENT NUMBERREGISTRATION NUMBER 1. This Agreement is entered into between the State Agency and the Contractor named below:STATE AGENCY

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What is std 213 rev 0817?

STD 213 Rev 0817 is a form used by employers to report work-related injuries and illnesses to the Division of Occupational Safety and Health (DOSH) in California.

Who is required to file std 213 rev 0817?

All employers in California are required to file STD 213 Rev 0817 if they have any work-related injuries or illnesses to report.

How to fill out std 213 rev 0817?

Employers can fill out STD 213 Rev 0817 by providing information about the injured or ill employee, the nature of the injury or illness, and details about how the incident occurred.

What is the purpose of std 213 rev 0817?

The purpose of STD 213 Rev 0817 is to provide DOSH with information about work-related injuries and illnesses in order to ensure workplace safety and compliance with regulations.

What information must be reported on std 213 rev 0817?

Employers must report information such as the employee's name, job title, date of injury or illness, description of the incident, and any medical treatment provided.