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California First Report of Injury Form

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California First Report of Injury Form


California employers are required by law to complete a report of injury form upon receiving notification that an employee has been injured at work. The complete and dated form must then be given to an employee and insurer or claims administrator within one working day of the receipt of the form.

The California First Report of Injury Form is exactly what you need to provide an initial employee injury report. In a single 8.5 x 11 page, all of the key information you need to capture is easily and clearly organized for you. This ensures that your form is complete, and that you are following mandatory regulations – and protecting the success and stability of your business.

Plus, each package of California First Report of Injury Forms contains 25 forms, so you don't have to worry about running out.

Product Specifications:

  • Each form is 8.5" x 11"
  • 25 Forms/Pkg


Availability: In stock


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Questions? Call a compliance specialist at 800-745-9970