PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form DWR664
for the current year.
Form DWR664 Contractor's Monthly Lost Time Accident Summary - California
What Is Form DWR664?
This is a legal form that was released by the California Department of Water Resources - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DWR664?
A: Form DWR664 is a Contractor's Monthly Lost Time Accident Summary.
Q: What is the purpose of Form DWR664?
A: The purpose of Form DWR664 is to provide a summary of lost time accidents involving contractors in California.
Q: Who is required to complete Form DWR664?
A: Contractors in California are required to complete Form DWR664.
Q: What information is included in Form DWR664?
A: Form DWR664 includes information about lost time accidents, such as the date, nature of the injury, and number of days lost.
Form Details:
- Released on August 1, 2020;
- The latest edition provided by the California Department of Water Resources;
- 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 DWR664 by clicking the link below or browse more documents and templates provided by the California Department of Water Resources.
