EMPLOYEE'S CLAIM FOR COMPENSATION/REPORT OF INITIAL TREATMENT Forms
| Form Name | EMPLOYEE'S CLAIM FOR COMPENSATION/REPORT OF INITIAL TREATMENT |
| Form # | Form C-4 |
| Form Revision | (rev.02/25) |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Nevada |
| Language | English |
| State Description | A copy of the form must be delivered to the insurer or third-party administrator. A copy of the form must be delivered to or the form must be filed by electronic transmission with the employer. A copy |
| Claimwire Description | n/a |