Report of industrial injury or occupational disease: Duty of employer to file; electronic filing; form and contents; penalty.
Nev. Rev. Stat. § 617.354
in effect1. Except as otherwise provided in NRS 616B.727 , within 6 working days after the receipt of a claim for compensation from a physician or chiropractic physician, or a medical facility if the duty to file the claim for compensation has been delegated to the medical facility pursuant to NRS 617.352 , an employer shall complete and file with the employers insurer or third-party administrator an employers report of industrial injury or occupational disease.
2. The report must:
(a) Be filed on a form prescribed by the Administrator;
(b) Be signed by the employer or the employers designee;
(c) Contain specific answers to all questions required by the regulations of the Administrator; and
(d) Be accompanied by a statement of the wages of the employee if the claim for compensation received from the treating physician or chiropractic physician, or a medical facility if the duty to file the claim for compensation has been delegated to the medical facility pursuant to NRS 617.352 , indicates that the employee is expected to be off work for 5 days or more.
3. An employer who files the report required by subsection 1 by electronic transmission shall, upon request, mail to the insurer or third-party administrator the form that contains the original signature of the employer or the employers designee. The form must be mailed within 7 days after receiving such a request.
4. The Administrator shall impose an administrative fine of not more than $1,000 against an employer for each violation of this section.
Source: NV Statutes (Official Site)URL: https://www.leg.state.nv.us/nrs/NRS-617.htmlFetched: 10/4/2026