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Las Vegas Nevada Form 5020: What You Should Know

C-2 General Civil Claim Filing and Notice for In Person Only, First Report ONLY,  C-2 Civil Claim Filing Procedures. Please include a copy of a completed C-20.pdf —  Nevada Division of Workers' Compensation (NV WCC) EMPLOYER'S CLAIM FOR COMPENSATION, C-2-GENERAL CIVIL CLAIM FORM. This form is not an employment contract between employers and their employees.   It is a contract between an injured person and the Workers' Compensation Commission and its employees. · All individuals filing this form will remain anonymous through my personal  name, my business registration number or an authorized designee. I will use only my own  name, business registration number or an authorized designee of my business to prepare this form. · I am an attorney and am authorized to act on behalf of my client. · Any time after completing this form, I agree to do anything or no-matter of  pursuant to the C-2-GENERAL CIVIL CLAIM FORM and any future amendments which may be made to this form. · This form must be filled out and signed by the claimant. A copy must be attached to the contesting form. An affidavit of service must be completed and filed and a copy filed here as well. · A completed Claim Filing and Workplace Injury/Illness Insurance Claim,  (C-2) General Civil Claim. C-5.2 Workplace Injury/Illness Reimbursement Insurance Claim · All individuals filing this form will remain anonymous through my  own personal name, business registration number, or an authorized designee on my behalf. This information is not shared with NV DOT, the Bureau of Insurance, the Division of Workers' Compensation or any other parties whatsoever. No one other than the person receiving this form may have access to the information in these records.

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