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2011-2012 DEPENDENT STUDENT VERIFICATION WORKSHEET(V005C) A. STUDENT INFORMATION First Name M.I. Student ID # Last Name Address (include apt. No.) email address Birthdate (mmddyyyy) City State ZIP
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What is uw milwaukee v005c form?
The uw milwaukee v005c form is a document used by the University of Wisconsin-Milwaukee to collect information about its employees' work-related injuries or illnesses.
Who is required to file uw milwaukee v005c form?
All employees of the University of Wisconsin-Milwaukee who have sustained a work-related injury or illness are required to file the uw milwaukee v005c form.
How to fill out uw milwaukee v005c form?
To fill out the uw milwaukee v005c form, you need to provide your personal information, details about the injury or illness, and any medical treatment received. The form can be completed online or in paper format.
What is the purpose of uw milwaukee v005c form?
The purpose of the uw milwaukee v005c form is to collect information about work-related injuries or illnesses at the University of Wisconsin-Milwaukee. This information is used for record-keeping, insurance claims, and identification of potential workplace hazards.
What information must be reported on uw milwaukee v005c form?
The uw milwaukee v005c form requires reporting of personal information, including name, contact details, and job title, as well as details about the injury or illness, such as date, time, location, and circumstances.
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