Get Colorado Department Of Human Services Injuryexposure On The Job Form (ioj) - Colorado
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How to fill out the COLORADO DEPARTMENT OF HUMAN SERVICES INJURY/EXPOSURE ON THE JOB FORM (IOJ) - Colorado online
Completing the injury/exposure on the job form is an essential process for reporting workplace incidents. This guide will walk you through each section of the COLORADO DEPARTMENT OF HUMAN SERVICES INJURY/EXPOSURE ON THE JOB FORM (IOJ) to ensure accurate and timely reporting.
Follow the steps to effectively complete your form online.
- Click ‘Get Form’ button to obtain the form and access it in an online editor.
- Fill out the employee portion, which includes providing your name, address, phone number, Social Security number, birth date, and date of hire.
- Indicate your employment status by selecting from the options: Permanent Employee, Temporary Employee, Rehabilitation Client, CWEP, or Other.
- Complete the injury details, including the time and date of the injury, the location of the incident, and a description of what happened.
- If applicable, provide the names of witnesses and details about medical attention received, including the name of the physician or facility.
- Confirm whether the injury caused missed workdays and if Emergency Room treatment was required.
- Review your responses for accuracy, and provide your signature and the date, confirming that the information is true and accurate.
- Once completed, forward the form to your supervisor for the completion of the back section.
- After the supervisor has filled out their portion, ensure that the form is submitted to the HR Benefits Coordinator within 24 hours.
- Finally, save, download, print, or share the form as needed for your records.
Complete your COLORADO DEPARTMENT OF HUMAN SERVICES INJURY/EXPOSURE ON THE JOB FORM (IOJ) online today to ensure your incident is reported accurately.
In Colorado, the statute of limitations for filing a work injury claim is two years from the date of the injury. Missing this deadline can result in losing your eligibility for benefits. To ensure you are on track, use the COLORADO DEPARTMENT OF HUMAN SERVICES INJURYEXPOSURE ON THE JOB FORM (IOJ) - Colorado to assist in documenting your claim.
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