C-4Employee's Claim / Report of Initial Treatment
Issued by Nevada DIR – Workers' Compensation Section
Employee's Claim / Report of Initial Treatment (C-4) — state-prescribed clinician report used by the state workers’ comp agency.
Key facts
Clinicians fill out · Submitted to regulator · Employers file
- When it’s used
- Initial treatment; progress/disability certification
- Who fills it out
- Treating physician of record
- Who signs
- Authorized treating physician.
- Where it goes
- unspecified
- Electronic submission
- Status unspecified
Sources & citations
Every form we publish traces to an authoritative government source. We cite the issuing agency, the underlying statute, and the operative regulation so you can verify scope and signing authority for your own records.
Issuing agency
Nevada DIR – WC Section
VerifiedOpenStatute
NRS Chapter 616C
Attribution. Researched and maintained in collaboration with the wc-hub workers’ compensation reporting project (NV). BlueHive does not modify the underlying government PDF; the file you download is the agency original.
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