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WAS Workers\' Compensation Selective Duty Form Slot Numbered WC 146/ Revised 2018INSTRUCTIONS: 1. Complete All Sections 2. Send this form and a copy of the PERWC208 to the WAS Workers\' Compensation

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How to fill out das workers compensation selective

01

Begin by obtaining the necessary forms from the Workers' Compensation Agency or the human resources department of your employer.

02

Provide your personal information, such as your name, address, and contact details, in the designated section of the form.

03

Indicate the date and time of the injury or illness for which you are seeking compensation.

04

Describe in detail the circumstances surrounding the incident, including any witnesses or relevant information.

05

Specify the medical treatment you have received for the injury or illness, including the names of healthcare providers and facilities.

06

Include any documentation or supporting evidence, such as medical records or witness statements, to substantiate your claim.

07

Review the completed form to ensure accuracy and sign it before submitting it to the appropriate party.

Who needs das workers compensation selective?

01

Any individual who experiences a work-related injury or illness and wishes to seek compensation through the selective workers' compensation program.

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What is das workers compensation selective?

Das workers compensation selective provides employers with a way to choose their workers' compensation insurance provider.

Who is required to file das workers compensation selective?

All employers in the state who have employees are required to file das workers compensation selective.

How to fill out das workers compensation selective?

Employers can fill out das workers compensation selective online through the designated portal provided by the state.

What is the purpose of das workers compensation selective?

The purpose of das workers compensation selective is to ensure that employers have the necessary workers' compensation insurance coverage for their employees.

What information must be reported on das workers compensation selective?

Employers must report their business information, number of employees, and details about their workers' compensation insurance provider.

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