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" ... the name, age, sex and occupation of the injured employee, and shall state the date and hour of the accident, the nature and cause of the injury, and such other information as may be required by the board. "
Laws of the Territory of Hawaii Passed by the Legislature - Page 346
by Hawaii - 1915
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American Chamber of Commerce Journal, Volumes 8-9

American Chamber of Commerce of the Philippines - 1928 - 901 pages
...there. The notice shall set forth the style and nature of the business of the employer, the location of the establishment, the name, age, sex, wages, and occupation of the injured employee the date and hour of the accident resulting in the injury, the nature and cause of the injury, and...
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Report of the ... Annual Meeting of the American Bar Association, Volume 37

American Bar Association - 1912 - 1266 pages
...employment. Such reports shall be upon printed blanks procured from said [Commissioner], and sliall contain the name and nature of the business of the employer, the location of his establishment or place of business, the name, age, sex, and occupation of each injured...
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Bulletin of the United States Bureau of Labor Statistics

1913 - 1314 pages
...employer shall make a supplemental report on blanks to be procured from the commissioner for that purpose. er or grandchild, location of the establishment, the name, age, sex and occupation of the injured employee, and shall...
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The American Labor Legislation Review, Volume 5

1915 - 870 pages
...disability still continues. The report must contain the name and nature of the employer's business, the situation of the establishment, the name, age,...sex, wages and occupation of the injured employee, the day and hour of the accident, the nature and cause of the injury and such other information as...
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Report of the West Virginia Employers' Liability and Laborers ..., Part 1

West Virginia. Employers' Liability and Laborers' Compensation Commission - 1911 - 282 pages
...employer shall make a supplemental report on blanks to be procured from the board for that purpose. The said reports shall contain the name and nature of the business of the employer, the location of the establishment, the name, age, sex and occupation of the injured employee, and shall...
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Labor Bulletin, Issues 79-87

Massachusetts. Department of Labor and Industries. Division of Statistics - 1911 - 438 pages
...name and nature of the business of the employer, the location of the establishment, the name, age, sex and occupation of the injured employee, and shall state the date and hour of the accident, the nature and cause of the injury, and such other information as may be required by the board. Any...
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The Worcester Magazine: Devoted to Good Citizenship and Municipal ..., Volume 14

1911 - 416 pages
...employer shall make a supplemental report on blanks to be procured from the board for such purpose. Such reports shall contain the name and nature of the business of the employer, location of establishment, the name, age, sex and occupation of the injured emplovee, and shall state...
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Annual Report of the Board of Gas and Electric Light ..., Volume 27

Massachusetts. Board of Gas and Electric Light Commissioners - 1912 - 692 pages
...employer shall make a supplemental report on blanks to be procured from the board for that purpose. The said reports shall contain the name and nature of the business of the employer, the location of the establishment, the name, age, sex and occupation of the injured employee, and shall...
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Labor Bulletin, Issues 88-93

Massachusetts. Department of Labor and Industries. Division of Statistics - 1912 - 344 pages
...employer shall make a supplemental report on blanks to be procured from the board for that purpose. The said reports shall contain the name and nature of the business of the employer, the location of the establishment, the name, age, sex and occupation of the injured employee, and shall...
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Journal, Issues 1-2

Michigan. Legislature. Senate - 1912 - 344 pages
...writing to the industrial accident board on blanks to be procured from the board for that purpose. The said reports shall contain the name and nature of the business of the employer, the location of his establishment or place of work, the name, age, sex and occupation of the injured employe,...
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