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UC28 (R. 7/17/15) PHYSICIANS CERTIFICATION OF CLAIMANTS HEALTH IMPORTANT TONGA ESO TRADUCED INMEDIATAMENTE Claimants Name and Address: Case No: SSN #: I authorize the release to the Connecticut Department

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What is uc-28 6100 bullentin?

The UC-28 6100 bulletin is a form used to report workplace injuries and illnesses to the appropriate state agency.

Who is required to file uc-28 6100 bullentin?

Employers are required to file the UC-28 6100 bulletin in the event of a workplace injury or illness.

How to fill out uc-28 6100 bullentin?

The UC-28 6100 bulletin can be filled out online or submitted manually by providing details about the injured or ill employee, the incident, and the employer.

What is the purpose of uc-28 6100 bullentin?

The purpose of the UC-28 6100 bulletin is to track and record workplace injuries and illnesses for regulatory and statistical purposes.

What information must be reported on uc-28 6100 bullentin?

The UC-28 6100 bulletin requires information such as the employee's name, date of birth, job title, description of the incident, and any medical treatment provided.

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