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State Form 12386bPLEASE TYPE OR PRINT LEGIBLY.CERTIFICATION FOR WORKERS COMPENSATION CARRIERS STATE OF I, COUNTY OF, hereby CERTIFY that I am(Title)of (Carrier) and that I have knowledge of the workers'
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Longshore and harbor workers refer to employees who are involved in loading, unloading, and the transportation of goods in ports and harbors, primarily working on docks and ships.
Employers of longshore and harbor workers must file claims and certain forms to report injuries or other relevant data related to their workers.
Filling out longshore and harbor workers forms typically requires outlining the worker's details, the nature of their employment, and any incidents or claims related to injuries or accidents at the workplace.
The purpose of longshore and harbor workers regulations is to ensure the safety and protection of maritime workers, facilitate compensation for injuries, and promote fair labor practices in maritime industries.
Information that must be reported includes the worker's name, the nature of the work being performed, any incidents, descriptions of injuries, and relevant medical treatment provided.
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