Form DJ-LS-25 Notice of Injury and Claim - Wisconsin

Form DJ-LS-25 Notice of Injury and Claim - Wisconsin

What Is Form DJ-LS-25?

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

FAQ

Q: What is Form DJ-LS-25?
A: Form DJ-LS-25 is the Notice of Injury and Claim form.

Q: What is the purpose of Form DJ-LS-25?
A: The purpose of Form DJ-LS-25 is to report an injury and file a claim in Wisconsin.

Q: Who needs to fill out Form DJ-LS-25?
A: Employees who have suffered a work-related injury need to fill out Form DJ-LS-25.

Q: What information should be included in Form DJ-LS-25?
A: Form DJ-LS-25 requires information about the injured employee, the employer, and details about the injury.

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Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Wisconsin Department of Justice;
  • 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 DJ-LS-25 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Justice.

Download Form DJ-LS-25 Notice of Injury and Claim - Wisconsin

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  • Form DJ-LS-25 Notice of Injury and Claim - Wisconsin, Page 1
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