A Treatise On the Law of Compensation for Injuries to Workmen Under Modern Indu

Cover A Treatise On the Law of Compensation for Injuries to Workmen Under Modern Indu
A Treatise On the Law of Compensation for Injuries to Workmen Under Modern Indu
James Harrington Boyd
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In money or other aid? __________________ What?
Name ------------------------------ 1 Address --------------------------- 1 Partly or wholly? __________ In what amount per week? $ ---------- In money or other aid? ------------------ What? ------------------ There has been incurred for said services and medicines for be given. This requirement must be complied with. Otherwise, the blank will be returned for correction. While all the informa- tion asked for may not be necessary to make up full pr
...oof in every instance, yet it is necessary for other requirements of this depart- ment.
Fill out blank in ink, using pen or typewriter.
Application for awards in all cases of injury resulting in death must be made by the executor or administrator or beneficiary of the decedent, or by the attending physician or undertaker where there is no beneficiary, NOT LESS THAN TWO WEEKS NOR MORE THAN SIX MONTHS after the death of the injured employe.
33 BOYD W C 216 WORKMEN'S COMPENSATION AND INSURANCE. 514 treatment for the Injury herein described and for funeral expenses the following bills: Date To Whom Paid or Due Item Amount Bill Paid (Yes or No) I enclose herewith all of the above bills properly made out, sworn to, and, if paid, properly receipted.


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