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36 37 38 39 40 RESOLUTION NO. 2014- CA 1 Dated: January 13, 2015, The City of Bamboo, Wisconsin Background: Fiscal Note: (Check one) Not Required To be Budgeted Expenditure Not Budgeted Comments Resolved,
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How to fill out CA-1:
01
The first step in filling out CA-1 is to gather all the necessary information and documentation. You will need to have the employee's personal information, such as name, address, and social security number. Additionally, you will need details about the injury or illness that occurred in the workplace.
02
Next, you need to accurately describe the nature of the injury or illness. It is crucial to provide specific details, including the date, time, and location of the incident. You should also include a clear and concise description of what happened and how the injury or illness occurred.
03
After describing the injury or illness, you need to complete the employee section of the CA-1 form. This section includes questions about the employee's job title, whether they were on duty when the incident happened, and if they've had any previous injuries or illnesses at work.
04
The next step involves completing the supervisor's section of the form. This section requires information about the supervisor, including their name, title, and contact details. It also asks for details about the incident investigation and any corrective actions taken.
05
Once the employee and supervisor sections are complete, the form needs to be reviewed by other designated personnel, such as the human resources department or a safety officer. They will ensure that all the information is accurate and complete.
Who needs CA-1:
01
Employees who sustain work-related injuries or illnesses are the primary individuals who need to complete CA-1. This form is necessary to document the incident and initiate the workers' compensation process. It helps ensure that the employee receives the appropriate medical care and benefits.
02
Supervisors and managers also play a crucial role in the CA-1 process. They are responsible for assisting the employee in filling out the form accurately and providing any necessary information or documentation. Additionally, supervisors must complete their portion of the form, which includes details of the incident and the subsequent investigation.
03
The employer's human resources department or designated safety personnel also need CA-1 to fulfill their responsibilities. They review the completed forms, ensure compliance with regulations, and take appropriate action to prevent future incidents. These individuals support the overall workers' compensation process and facilitate a safe working environment.
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What is ca - 1?
ca-1 is a form used to report certain information about income earned by individuals.
Who is required to file ca - 1?
Individuals who have received income that needs to be reported on ca-1 are required to file.
How to fill out ca - 1?
To fill out ca-1, you will need to provide information about the income you have earned and any deductions or credits that may apply.
What is the purpose of ca - 1?
The purpose of ca-1 is to report income earned by individuals and ensure that they are paying the correct amount of taxes.
What information must be reported on ca - 1?
Information such as income earned, deductions, credits, and personal information must be reported on ca-1.
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