EMPLOYER'S REPORT OF INDUSTRIAL INJURY OR OCCUPATIONAL DISEASE Forms
| Form Name | EMPLOYER'S REPORT OF INDUSTRIAL INJURY OR OCCUPATIONAL DISEASE |
| Form # | Form C-3 |
| Form Revision | (rev. 02/25) |
| Category | Forms » First Report |
| Downloads | |
| Form State | Nevada |
| Language | English |
| State Description | A copy of the form must be completed and mailed to the insurer within 6 working days of receipt of the C-4 Form. |
| Claimwire Description | n/a |