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Champlain College First Report of Injury Workers Compensation Updated September 2022Employee Name: Date of Incident:Time of Incident: Date reported to Supervisor/Human Resource:Employee Information:
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Make sure you have all the necessary information and documents required for filling out the Champlain College PA-15 workplace form.
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Begin by entering your personal details such as name, address, and contact information.
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Provide information about your workplace, including the address, employer name, and job title.
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Fill out details about your work schedule, hours worked per week, and start date of employment.
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Who needs champlain college pa-15 workplace?

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Employees working at Champlain College
02
Employers at Champlain College
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Human Resources department at Champlain College

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Champlain College PA-15 workplace refers to the Employer Information Report EEO-1 which must be filed by certain employers.
Employers with 100 or more employees are required to file the Champlain College PA-15 workplace report.
Employers can fill out the Champlain College PA-15 workplace report online through the EEOC's website.
The purpose of the Champlain College PA-15 workplace report is to collect data on the gender and race/ethnicity of employees.
Employers must report the number of employees by job category, gender, and race/ethnicity.
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