Standard Form - Employer's First Report of Injury
Maker
Unknown
Date1910-1925
MediumPaper
DimensionsOverall: 11 x 8 1/2 in. (27.9 x 21.6 cm); Small
ClassificationsDocumentary Artifact
Terms
Catalog number1994.1.1781
DescriptionThis form used as scratch paper on back.Status
Not on view