Obligation Record

Back to Accountability Chain · WC-2026-1319
#03

File Statutory Injury Report with State Board

Break · +4d

Identity

What was supposed to happen

File Statutory Injury Report with State Board

Claims administrator must file the initial statutory injury report with the state workers' compensation board within the state-mandated deadline (3 business days).

Sequence

#03

Owner

Rachel NomuraClaims Administrator

Assigned by

Lifecycle Facts

The dates the employer recorded. These are editable facts — the Engine derives everything below from them.

Assigned

August 10, 2026

Accepted

August 10, 2026

Due

August 12, 2026

Completed

August 18, 2026

Verified

Evidence Summary

2 linked

Completion recorded without evidence

A completion date is on record but no evidence supporting the completion claim has been linked to substantiate that the work was actually done.

Accountability break has no supporting evidence

This obligation completed after its deadline, but no evidence supporting the delay/break claim has been linked to explain it.

State Board Filing Confirmation Receipt

Document
Supports: Other

State workers' compensation board electronic filing confirmation, time-stamped Aug 18, showing the initial injury report was accepted 4 business days after the statutory deadline.

Recorded by Rachel Nomura · logged August 18, 2026

Statutory Filing Deadline Missed

Note
Supports: Other

The statutory injury report was not submitted to the state workers' compensation board until 4 business days after the mandated deadline.

Recorded by Rachel Nomura · logged August 18, 2026

Derived State

Engine output — read-only

Derived status

Break · +4d

Delay

+4 business days late

Accountability break

Present

Depends on

No upstream dependency

Blocks (downstream)

Nothing depends on this

Notes

Operational context only. Notes never override evidence and never change any derived conclusion above.