Nevada Code § 617.354

Report of industrial injury or occupational disease: Duty of employer to file; electronic filing; form and contents; penalty
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1. Except as otherwise provided in NRS 616B.727 , within 6 working days after
the receipt of a claim for compensation from a physician or chiropractic
physician, or a medical facility if the duty to file the claim for compensation
has been delegated to the medical facility pursuant to NRS 617.352 , an employer shall complete and
file with the employers insurer or third-party administrator an employers
report of industrial injury or occupational disease.
2. The report must:
(a) Be filed on a form prescribed by the
Administrator;
(b) Be signed by the employer or the employers
designee;
(c) Contain specific answers to all questions
required by the regulations of the Administrator; and
(d) Be accompanied by a statement of the wages of
the employee if the claim for compensation received from the treating physician
or chiropractic physician, or a medical facility if the duty to file the claim
for compensation has been delegated to the medical facility pursuant to NRS 617.352 , indicates that the employee is
expected to be off work for 5 days or more.
3. An employer who files the report
required by subsection 1 by electronic transmission shall, upon request, mail
to the insurer or third-party administrator the form that contains the original
signature of the employer or the employers designee. The form must be mailed
within 7 days after receiving such a request.
4. The Administrator shall impose an
administrative fine of not more than $1,000 against an employer for each
violation of this section.

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