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Form W.CL.15 - Strain or Sprain Questionnaire

by admin — last modified 2007-11-24 13:53

This document is used to report a sprain and/or strain that occured at work. This must be completed by a worker and submitted to the Compensation Fund.

What is The Purpose of This Form?

To report a strain and sprain to claim from the Compensation Fund.

Who Fills in This Form?

The worker.


The worker must complete this form and sign it. It must then be submitted to the Compensation Fund in order to claim for injuries.


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Form - COID - WCL15 - Strain or Sprain Questionnaire.pdf

File Size: 37 KB

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