This is a legal form that was released by the U.S. Department of Labor - Occupational Safety & Health Administration on January 1, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
Download a printable version of OSHA Form 3165-04R by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Occupational Safety & Health Administration.