This version of the form is not currently in use and is provided for reference only. Download this version of Form C-3 for the current year.
This is a legal form that was released by the Nevada Department of Administration - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form C-3?
A: Form C-3 is an Employer's Report of Industrial Injury or Occupational Disease.
Q: Who needs to file Form C-3?
A: Employers in Nevada need to file Form C-3 when there is an industrial injury or occupational disease.
Q: What information is required on Form C-3?
A: Form C-3 requires information about the injured employee, the date and location of the incident, the nature of the injury or disease, and the treatment provided.
Q: When should I file Form C-3?
A: Form C-3 should be filed within 7 days of the employer's knowledge of the injury or disease.
Q: What should I do if there are changes in the employee's condition?
A: If there are changes in the employee's condition after filing Form C-3, the employer should submit an amended form to the Nevada Department of Business and Industry.
Q: Are there any fees associated with filing Form C-3?
A: No, there are no fees associated with filing Form C-3.
Q: What is the purpose of Form C-3?
A: Form C-3 is used to report industrial injuries and occupational diseases to the Nevada Department of Business and Industry for record-keeping and insurance purposes.
Q: What happens after I file Form C-3?
A: After filing Form C-3, the Nevada Department of Business and Industry will review the information and may contact the employer or employee for further details if needed.
Form Details:
Download a fillable version of Form C-3 by clicking the link below or browse more documents and templates provided by the Nevada Department of Administration.