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Get the free Employer's First Report of Injury or Occupational Disease (Form 19)

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Dear Insured:West Bend is pleased to provide you with 1. Workers Compensation reporting tips that are helpful when you must report a work related injury. 2. Employer's First Report of Injury or Occupational
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The employer's first report is typically a document that provides information about an employee's initial employment details to a state agency, usually related to unemployment insurance or workers' compensation.
Employers who hire new employees are generally required to file the employer's first report with the relevant state agency or department.
To fill out the employer's first report, one must provide specific details about the employee, including personal information, employment details, and the nature of their job. This may include the employee's name, Social Security number, start date, and other pertinent information.
The purpose of the employer's first report is to ensure proper registration of new employees for state unemployment insurance and to track employment data for governmental use.
The information required typically includes the employee's name, address, Social Security number, date of hire, and the employer's details such as business name and address.
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