Dp2002 form 2026

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  1. Click ‘Get Form’ to open the dp2002 form in the editor.
  2. Begin by entering the name of the injured employee in the designated field. Ensure that you print the name clearly for accurate processing.
  3. Next, fill in the name of the city department or agency where the employee is employed. This information is crucial for proper identification.
  4. Select one of the two options regarding compensation. If choosing Option 1, ensure you understand and meet all conditions listed, including leave balance adequacy and compliance with safety regulations.
  5. If applicable, complete the shaded section for an authorized designee who will sign on behalf of the injured employee. Include their address and signature.
  6. Finally, ensure that a witness signs and provides their details as required before submitting the completed form to your department head.

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Versions Form popularity Fillable & printable
1993 4.1 Satisfied (57 Votes)
1983 4 Satisfied (35 Votes)
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