Legal Forms >> California >> Workers' Compensation
Form #:CA-WC-5020 This form is used by the employer to report an injury that one of their employees sustained on the job. The date, specific nature, and extent of the workplace injury should be included on the form, as well as information about the amount of time the worker has missed work due to the injury.
Name:Employer's Report of Occupational Injury or Illness Form Number: CA-WC-5020 State:California Statute: Form Category:Workers' Compensation
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