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LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES REQUEST FOR SERVICES (RFS) FOR WORKERS COMPENSATION IDENTIFICATION AND RECOVERY SERVICES RFS No. FRA SMA 002WCIRSDecember 2019 Prepared By Department

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How to fill out workers compensation - personnel

01

Gather all necessary information such as employee's personal details, job title, date of injury, and description of injury.

02

Complete the employer section of the workers compensation form with company details and signature.

03

Have the injured employee fill out their section of the form with details of the incident and any initial medical treatment received.

04

Submit the completed form to the appropriate workers compensation insurance provider or state department.

Who needs workers compensation - personnel?

01

Employers who have employees working for them need workers compensation personnel. It is a legal requirement to provide workers compensation insurance to employees in case they get injured or ill while on the job.

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What is workers compensation - personnel?

Workers compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment.

Who is required to file workers compensation - personnel?

Employers are required to provide workers compensation insurance to their employees.

How to fill out workers compensation - personnel?

Employers must complete the necessary forms provided by the workers compensation insurance provider and submit any required documentation.

What is the purpose of workers compensation - personnel?

The purpose of workers compensation is to protect employees who are injured on the job by providing them with financial and medical support.

What information must be reported on workers compensation - personnel?

Employers must report details of the injury, medical treatment provided, and any time off work due to the injury.

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