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Print Formulate OF CALIFORNIADOCTOR\'S FIRST REPORT OF OCCUPATIONAL INJURY OR Illnesses Formfitting 5 days of your initial examination, for every occupational injury or illness, send two copies of
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It is a form used to report workplace injuries and illnesses to the California Division of Workers' Compensation.
Employers in California are required to file the form when an employee is injured or becomes ill on the job.
The form should be completed with details of the injury or illness, including the date, time, location, and nature of the incident.
The purpose is to ensure that injured employees receive the necessary medical treatment and benefits, and to track workplace injuries for statistical purposes.
Information such as the employee's name, date of birth, job title, description of injury, and any medical treatment received must be reported.
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