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 First Report of Injury Form 2009-2025

Dfs F2 Dwc 1 2009-2025 Form

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Instructions and help about florida first report of injury

hi there i'm michael rot with haydn rotten ortley here in san diego california and today we're going to talk about employee claim forms in the workers compensation arena the form you have in front of you is the workers compensation claim form also known as the dwc one most of it is self-explanatory and within one working day of your injury provided that your employer has notice of your injury they're required by law to provide you with a form like you see in front of you here now it's your obligation to fill out items one through eight most of these are self-explanatory but we're going to walk through them anyway the first one is the name uh and then the today is date that you filled out the form your address your city and state and zip code and the date of injury now as for the date of injury if you were hurt today august 1st then that's the date that you would put along with the approximate time now if you're unclear on whether

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