Form C-3 Employer's Report of Industrial Injury or Occupational Disease - Nevada

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Form C-3 Employer's Report of Industrial Injury or Occupational Disease - Nevada

What Is Form C-3?

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.

FAQ

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.

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Form Details:

  • Released on May 1, 2010;
  • The latest edition provided by the Nevada Department of Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form C-3 Employer's Report of Industrial Injury or Occupational Disease - Nevada

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  • Form C-3 Employers Report of Industrial Injury or Occupational Disease - Nevada, Page 1
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