Hawaii Administrative Rules
Title 12 - DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS
Chapter 10 - WORKERS COMPENSATION
Subchapter 3 - ADMINISTRATION
Section 12-10-71 - Annotation of documents

Universal Citation: HI Admin Rules 12-10-71

Current through August, 2024

All documents, correspondence, or other material filed with the director shall include as part of the heading:

(1) The injured employee's full name;

(2) Department's case number;

(3) Date of accident;

(4) Name of the employer in whose employ the injury occurred; and

(5) If applicable, the name of the insurer or adjuster.

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