Form C-1 Notice of Injury or Occupational Disease (Incident Report) - Nevada

What Is Form C-1?

This is a legal form that was released by the Nevada Department of Business and Industry - 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-1?
A: Form C-1 is the Notice of Injury or Occupational Disease (Incident Report) form in Nevada.

Q: What is the purpose of Form C-1?
A: The purpose of Form C-1 is to report an injury or occupational disease that occurred in Nevada.

Q: Who should fill out Form C-1?
A: Form C-1 should be filled out by the injured worker, their employer, or their authorized representative.

Q: What information is required on Form C-1?
A: Form C-1 requires information about the injured worker, the employer, and details about the incident.

Q: Is Form C-1 mandatory?
A: Yes, Form C-1 is mandatory. It must be completed within 7 days of the injury or occupational disease.

Q: What should I do with completed Form C-1?
A: Completed Form C-1 should be submitted to the employer's insurer and the Nevada Department of Business and Industry, Division of Industrial Relations.

Q: Are there any fees associated with Form C-1?
A: No, there are no fees associated with Form C-1.

Q: What happens after I submit Form C-1?
A: After you submit Form C-1, the employer's insurer will determine if the claim is compensable under workers' compensation laws.

Q: Can I get assistance in filling out Form C-1?
A: Yes, you can seek assistance from your employer, their insurer, or a legal professional in filling out Form C-1.