DLHWC SEA Portal

DLHWC Seaportal.pdf

Employer's First Report of Injury or Occupational Disease; Employer's Supplementary Report of Accident or Occupational Illness

DLHWC SEA Portal

OMB: 1240-0003

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0003 can be found here:

2024-03-19 - No material or nonsubstantive change to a currently approved collection

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