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MN Department of Labor and Industry Workers Compensation Division PO Box 64221 St. Paul, MN 551640221 (651) 2845032 or 18003425354 Fax: (651) 2845731First Report of Injury See Instructions on Reverse
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Begin by obtaining the Minnesota Department of Labor form.
02
Start by providing your personal information, such as your full name, address, and contact details.
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Enter your employment details, including your current employer's name, address, and contact information.
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Fill in the required sections relating to your job position, such as your title, job duties, and hours worked.
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Provide information about your wages, including your hourly rate or salary, frequency of payment, and any deductions made.
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Sign and date the form.
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Submit the form to the appropriate department or individual as instructed.

Who needs mn department of labor?

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Employees in the state of Minnesota who have concerns or issues related to their employment may need to engage with the Minnesota Department of Labor.
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Employers in Minnesota may also need to interact with the Department of Labor for various employment-related matters, such as compliance with labor laws and regulations.
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Individuals or entities involved in labor disputes or issues in Minnesota may require the assistance and guidance provided by the Minnesota Department of Labor.
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The Minnesota Department of Labor and Industry (DLI) is a state agency that oversees labor laws, workplace safety, and workers' compensation in Minnesota.
Employers in Minnesota who employ workers covered by state labor laws are required to file reports and documents with the Minnesota Department of Labor and Industry.
To fill out forms for the Minnesota Department of Labor and Industry, you need to download the relevant forms from their website, complete them with accurate information, and submit them as per their instructions.
The purpose of the Minnesota Department of Labor and Industry is to enforce labor laws, ensure the safety and health of workers, oversee workers' compensation, and protect the rights of employees.
Employers must report employee wages, hours worked, workplace injuries, and other relevant employment data to the Minnesota Department of Labor and Industry.
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