Search results with tag "Injury or occupational"
Employer's First Report of Injury or Occupational Illness
www.dol.govREPORTABLE INJURY – Any accidental injury which causes loss of one or more shifts of work or death allegedly arising out of and in the course of employment, including any occupational disease or infection believed or alleged to have arisen naturally out of such employment, or as a natural or unavoidable result from an accidental injury.
First Report of an Injury, Occupational Disease or Death
www.bwc.ohio.govOct 01, 2012 · injury or occupational disease for which I am filing this claim; • Confirm that I have not received compensation and/or benefits under the workers’ compensation laws of another state for this claim, and that I will notify BWC immediately upon receiving any compensation or benefits from any source for this claim.
C-1 Notice of Injury or Occupational Disease Incident Report
risk.nv.govNotice of Injury or Occupational Disease (Incident Report Form C-1): If an injury or occupational disease (OD) arises out of and in the course of employment, you must provide written notice to your employer as soon as practicable, but no …
WCB-Alberta Employer Report of Injury or Occupational …
www.wcb.ab.caIf the injury/condition or occupational disease developed over a period of time, indicate the date you first became aware of the injury. 4 Date accident/injury reported to employer Name the date, time, person, position and contact information. 5 Describe what happened to cause the injury Include typical actions and how