Haw. Code R. § 12-10-71 - Annotation of documents

All documents, correspondence, or other material filed with the director shall include as part of the heading:

(1) The injured employee's full name;

(2) Department's case number;

(3) Date of accident;

(4) Name of the employer in whose employ the injury occurred; and

(5) If applicable, the name of the insurer or adjuster.

Notes

Haw. Code R. § 12-10-71

[Eff: 11/29/85] (Auth: HRS § 386-72) (Imp: HRS §§ 386-95, 386-96)