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Catalog NO: CA1 DATE RECORDED: JANUARY JUNE 2006 ___JOHANNESBURG METROPOLITAN MUNICIPALITY HERITAGE ASSESSMENT SURVEYING FORM___ Compiled by: Dr JJ Brewer, 20020729NAME OF PLACE:JJ Brewer Cellphone:

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Obtain a copy of CA-1 form from the official website or your employer.

02

Fill out the employee's personal information such as name, address, and contact details.

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Provide details of the injury or illness sustained at work including date, time, and description.

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ca-1 burlington house aka is also known as Form CA-1 which is used to report a workplace injury or illness.

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