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This version of the form is not currently in use and is provided for reference only. Download this version of
Form WC-1
for the current year.
Form WC-1 Employer's Report of Industrial Injury - Hawaii
What Is Form WC-1?
This is a legal form that was released by the Hawaii Department of Labor & Industrial Relations - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form WC-1?
A: Form WC-1, also known as the Employer's Report of Industrial Injury, is a document used in Hawaii to report workplace injuries.
Q: Who needs to fill out Form WC-1?
A: Employers in Hawaii are required to fill out Form WC-1 when an employee sustains a work-related injury or illness.
Q: What information is needed on Form WC-1?
A: Form WC-1 requires details about the employee, the injury or illness, and the employer's insurance coverage.
Q: When should Form WC-1 be filled out?
A: Form WC-1 should be filled out as soon as possible after the employee's injury or illness occurs.
Form Details:
- Released on September 1, 2016;
- The latest edition provided by the Hawaii Department of Labor & Industrial Relations;
- 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 WC-1 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Labor & Industrial Relations.
