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This document is a decision and order from the U.S. Department of Labor regarding the appeal of Carol Gagliardi concerning her traumatic injury claim while working for the Department of the Treasury,
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Begin by carefully reading the instructions provided on the form.
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Provide the necessary information about the employer, such as their name, address, and employer identification number (EIN).
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Indicate the time period for which the information is being reported, including the starting and ending dates.
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Report the number of employees, both full-time and part-time, that were employed during the specified time period.
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Provide details about any work-related injuries or illnesses that occurred during the reporting period.
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97-2272doc - dol is a document used to report certain information related to retirement plans and employee benefit arrangements.
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