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EDMUND G. BROWN JR. , Governorate OF CALIFORNIA PUBLIC UTILITIES COMMISSION 505 Van Less Avenue San Francisco, CA 941023298PUC WORKERS\' COMPENSATION REPORT FOR PERIOD OF: January 1, 2016, To December
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How to fill out puc workers compensation report

01
To fill out the PUC workers compensation report, follow these steps:
02
Obtain a copy of the PUC workers compensation report form.
03
Read the instructions on the form carefully to understand the information required.
04
Provide the necessary personal details of the injured worker, such as name, contact information, and Social Security number.
05
Indicate the date and time of the accident or injury.
06
Describe the nature and extent of the injury or illness in detail.
07
Provide information about the medical treatment received, including the name of the healthcare provider and any medications or procedures administered.
08
If there were witnesses to the accident, provide their contact information.
09
Include any relevant additional information, such as previous injuries or pre-existing conditions that may have contributed to the current injury.
10
Sign and date the report to certify its accuracy and completeness.
11
Submit the completed form to the appropriate authority according to the instructions provided.

Who needs puc workers compensation report?

01
Anyone who has suffered a work-related injury or illness and wishes to claim workers compensation benefits from PUC (Public Utilities Commission) needs to fill out the PUC workers compensation report. This includes employees of public utility companies regulated by the PUC, such as gas, electric, water, and telecommunications providers.
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The PUC workers compensation report is a document that provides information about the workers compensation insurance coverage for employees of a public utility company.
Public utility companies are required to file the PUC workers compensation report.
The PUC workers compensation report can be filled out online or submitted through mail using the forms provided by the Public Utilities Commission.
The purpose of the PUC workers compensation report is to ensure that public utility companies have adequate workers compensation insurance coverage for their employees.
The PUC workers compensation report must include information about the insurance carrier, policy number, coverage limits, and employee count.
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