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- Create Date September 9, 2022
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Employee Declination of Workers Comp.
Employee Declination of Workers Comp_Treatment REVISED 11.23.20
Employee Declination of Workers Comp.
If you do not want to seek treatment, please complete a work injury form (DWC-1) and sign the lower section of the Declination form. Submit both completed forms to HR. If you do not want to complete a DWC-1 form, complete both sections of the Declination form and submit to HR.
