Form SFN12437 Work Loss - Employer's Report - North Dakota

Form SFN12437 Work Loss - Employer's Report - North Dakota

What Is Form SFN12437?

This is a legal form that was released by the North Dakota Department of Corrections & Rehabilitation - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SFN12437?
A: Form SFN12437 is the Work Loss - Employer's Report form used in North Dakota.

Q: What is the purpose of Form SFN12437?
A: The purpose of Form SFN12437 is for employers to report work-related injuries or illnesses that resulted in employee work loss.

Q: Who needs to complete Form SFN12437?
A: Employers are responsible for completing Form SFN12437 when an employee has experienced work loss due to an injury or illness.

Q: What information is required on Form SFN12437?
A: Form SFN12437 requires information about the injured employee, details of the injury or illness, work loss information, and employer information.

Q: Are there any deadlines for submitting Form SFN12437?
A: Yes, it is important to submit Form SFN12437 within the specified timeframe as outlined by the North Dakota Office of Workers' Compensation.

Q: What should I do if I need assistance filling out Form SFN12437?
A: If you need help filling out Form SFN12437, you can contact the North Dakota Office of Workers Compensation or seek assistance from a legal professional.

Q: Is Form SFN12437 only for North Dakota employers?
A: Yes, Form SFN12437 is specifically for employers in the state of North Dakota to report work-related injuries or illnesses resulting in work loss.

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Form Details:

  • Released on June 1, 2018;
  • The latest edition provided by the North Dakota Department of Corrections & Rehabilitation;
  • 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 printable version of Form SFN12437 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Corrections & Rehabilitation.

Download Form SFN12437 Work Loss - Employer's Report - North Dakota

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  • Form SFN12437 Work Loss - Employers Report - North Dakota, Page 1
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