Workers Compensation Records

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Workers Compensation Records

 
Turnaround Time: Varies by state   Pricing: Varies by state Workers Compensation Records Product Sheet Workers Compensation Records  Sample Report
 

Workers Compensation Records

This search is helpful in identifying fraudulent claims by an employee as to previous workplace injuries. Some states require a signed release form and notarize.

Workers Compensation Records Sample Report

Subject Information:
Name: JOHN SMITH
Date of Birth: 01/12/64
Address: 480 W. SQUARE AVE., MIAMI, FL
SSN: 123-45-XXXX
Sex: MALE
Age: 39
State: FOROLIDA
Number: 851863
Injury Date: 10/24/1990
Returned to Work: 03/18/1991
CMP Paid: $156
MED Paid: $804
Disablement: Temporary Total
Injury Type: MISCELLANEOUS OR MULTIPLE
Injury Location: Upper Arm
Injury Source: USING TOOL OR MACHINE
Employer Name: ABC Company, LLC
Date Hired: 10/31/1983

This is a sample report of the Workers Compensation Records.

 

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Workers Compensation Records