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158. Form of pension voucher-
Permanent total disabil-
ity. (w)
159. Form of pension voucher-
Survivors of deceased
workman. (ww)
160. Form of burial expense
voucher-Account of de-
ceased workman. (x) 161. Form of final settlement
voucher. (y)
162. Form of election to receive
compensation and assign-
ment of claim-Injuries
by defaulting employer.
(z)
163. Election to receive com-
pensation and assignment
of claim-Injury by other
than employer. (zz)
164. Statistical reports on the
operation of the act.
165. Review of the first eight
months' operation of act.
166. Official state safety bulle-
tin.
Sec.
167. The
CHAPTER XI.
THE OHIO WORKMEN'S INSURANCE ACT.
nature of the Ohio
Workmen's Insurance act.
168. Ohio act an insurance act.
169. Ohio act an indirectly com-
pulsory act.
170. Employer's liability under
the act.
171. The statute and its inter-
pretation by the board and
the attorney-general.
172. The decision of the Su-
preme Court of Ohio sus-
taining the law.
173. Workshop and factory in-
spection and regulation
act.
174. Rules of procedure before
the state liability board of
awards.
175. Procedure as to employers.
176. Forms of applications and
notices to be used by em-
ployers covered by the
177. Form of application for
classification of industry
and for premium.
178. Form of supplementary re-
port-Accident experience.
179. Form of notice of employer
to employés.
180. A comparison of premium
rates under the Ohio law
with liability insurance
rates under compensation laws.
181. Procedure as to injured em-
ployés.
182. Form of procedure on no-
tices in general.
183. Form of first notice of in-
jury. (a)
Sec. 199. Form of application for money to pay for medical, nurse and hospital serv- ices and medicines, with compensation. (a)
200. Form of employer's certifi-
cate and oath. (b)
201. Form of physician's fee
bill. (c)
202. Form of druggist's cost
bill. (d)
203. Form of medical fee bill
and hospital charges. (e)
204. Form of certificate and oath
of lay witness. (f)
205. Forms to obtain money to
pay for medical, hospital
and funeral expenses on-
ly.
206. Form of application for
money paid for medical,
nurse and hospital serv-
ices and medicines and
for funeral expenses, with-
out award. (a)
207. Form of undertaker's certi-
ficate of death and cost
bill. (b)
208. Form of lay witness's cer-
tificate in proof of death.
(c)
209. Form of physician's certifi- cate in proof of death. (d) 210. Form of employer's certifi- cate and oath. (e)
211. Form of physician's fee
bill. (f)
212. Form of druggist's cost bill. (g)
213. Form of medical fee bill and hospital charges. (h) 214. Form of certificate and oath
of lay witness. (i)
215. Form of procedure to ob-
tain compensation and
money to pay for medi-
cal, hospital and funeral
expenses.
216. Form of application for
ices and medicines and for
funeral expenses. (a)
217. Form of proof of depend-
ents. (b)
218. Form of undertaker's certi-
219. Form of lay witness's cer-
(d)
220. Form of physician's certifi-
cate in proof of death. (e)
221. Form of employer's certifi-
cate and oath. (f)
222. Form of physician's fee
bill. (g)
223. Form of druggist's cost
bill. (h)
224. Form of medical fee bill and hospital charges. (i) 225. Form of certificate and
oath of lay witness. (j)
CHAPTER XII.
THE WISCONSIN WORKMEN'S COMPENSATION ACT.
226. Nature and scope of Wis- 228. The opinion of the Supreme
229. Decisions of commission-
Construction of word "em-
ployment."
230. Decisions of commission-
Powers of commission-
Review of awards-Con-
struction of word "em-
231. Decisions of commission-
Construction of "wilful
misconduct."
232. Decisions of commission-
Construction of word
"support."
233. Decisions of commission-
Construction of "casual
employment" and time of
serving "notice."
234. Decisions of commission-
Meaning of "support" "de-
pendents."
235. Procedure under the act-
Rules of practice.
236. Circular letter to employ-
ers by the commission in
explanation of its rules of
practice.
237. Formal procedure under
Wisconsin act.
238. Form of employer's written
acceptance. (a)
239. Form of employer's notice of withdrawal from oper- ation of act. (b) 240. Form of notice that em- ployer has filed notice of
election to become sub-
ject to provisions of act.
241. Form of notice by employ-
er to the commission of
compliance with the law.
242. Form of first report of ac-
cident. (e)
243. Form of supplementary re-
ports on accident. (f)
244. Form of answer to appli-
cation. (g)
245. Form of notice by employé
that he elects to be sub-
(h)
246. Form of notice of employé
upon entering employ-
ment that he elects not to
be subject to act. (i)
247. Form of notice to employer
of claim for injury under
act. (j)
248. Form of application for ad-
justment of claim. (k)
249. Form of accident report of
casualty company. (1)
250. Form of notice of hearing.
(m)
251. Form of subpoena. (n)
252. Form of admission of serv- ice. (0)
253. Form of notice of the entry of findings and award made by commission. (p)
CHAPTER XIII.
NEW JERSEY COMPENSATION ACT.
254. Nature and scope of act.
255. Text of New Jersey work-
men's compensation act.
256. Text of supplementary act
saving existing contracts.
257. Text of act creating the
employer's liability com-
mission.
262. The nature and scope of
263, The California act and its
construction by the board.
264, Reports of industrial acci-
dents.
265, Rules of practice of the in-
dustrial accident board of
California.
266. The formal procedure un-
der the act.
267. Forms to be used by em-
ployers.
268. Form of employer's writ-
ten acceptance of the pro-
visions of the act. (a)
269, Form of employer's with-
drawal of acceptance of
provisions of the act. (b)
270, Form of notice that em-
ployer has accepted the
compensation provisions
of the act. (c)
271, Form of employer's first
report of accident to em-
ployé, (d)
272, Form of employer's supple-
mental report of accident
to employé. (e)
273. Forms for employés.
274. Form of notice by employé
of election not to be sub-
ject to the provisions of
the act. (f)
275. Form of notice to employer
of claim for compensation
for injury under act. (g)
276. Forms for hearings before
board.
277. Form of notice of filing of
application for adjust-
ment of claim. (h)
278. Form of notice of hearing
of application for adjust-
ment of claim. (i)
279. Form of subpoena for wit-
ness to appear before in-
dustrial accident board.
(j)
280. Forms to be used by physi-
cians.
281. Form of physician's report
of accident to employé.
(k)
282. Form of request for report
of accident. (1)
283. Form of request for fuller
report of accident. (m)
284. Form of notice to doctor to
file report. (n)
285. Forms to be used by casual-
ty companies.
286. Form of first accident re-
port of casualty company.
(0)
287. Form of supplemental ac-
cident report of casualty
company. (p)